Job summary
We are looking for a knowledgeable, dedicated, and forward-thinking individual for this exciting role as the operational lead for the nursing and medical review teams, Day unit and paediatric clinics in the Proton beam therapy (PBT) centre as well as professional lead for paediatric nursing across the Division and Trust. Applicants should be innovative and dynamic practitioners committed to improving the paediatric patient experience in a Trust which is not a primary paediatric hospital.
The individual appointed to this role will lead a team providing management and treatment of paediatric patients undergoing proton beam therapy (PBT) and radiotherapy and as such should possess excellent clinical and demonstrable leadership skills. They will practice autonomously within their professional boundaries liaising closely with medical colleagues including medical oncologists, clinical oncologists, and anaesthetists from The Christie and Royal Manchester Children's Hospital to ensure safe care and treatment of the PBT paediatric patients.
Applicants need to be proactive individuals that can interact and contribute to a team environment with experience of working alongside a broad range of multidisciplinary teams (MDTs) of all bandings and grades.
Main duties of the job
This post holder will act as operational lead as well as a clinical member of the PBT Paediatric medical review team, required to participate in the direct clinical management of paediatric and TYA patients. This includes history taking, systematic physical examination, formulating clinical management plans, prescribing appropriate treatment, and managing medical care of paediatric patients receiving radiotherapy including post anaesthetic patients who require appropriate discharge. The post holder will also act as operational lead for the paediatric day unit, staffed by paediatric nurses managing and caring for all paediatric patients within the PBT service including a number of post anaesthetic cases daily. Importantly, as a key member of the PBT senior team they will have a key role in operational management of the wider PBT clinical service
In addition to the responsibilities in PBT the post holder will act as the professional lead for paediatric nursing care across the Division and Trust, providing visible leadership across paediatric PBT, radiotherapy and oncology clinical service setting, and will be required to develop and maintain advanced paediatric life support skills, provide a presence within the emergency team as required in order to respond and assist on paediatric crash calls acting as the paediatric representative for the Trust resuscitation and deteriorating patient committee
About us
This is a unique role as part of the nursing and leadership team at The Christie, one of Europe's leading cancer centres and one of only two high-energy NHS proton centres in the UK. As such this is a role, working in a highly specialised service alongside an extensive multi-professional team able to treat a complex clinical case mix including a high proportion of paediatric and young adult patients. This role will enable the post holder the opportunity to contribute not only to the continuous development of a novel national service but also provide exposure to leadership on a divisional and trust level as lead paediatric nurse.
The PBT centre is a day case, outpatient service and operates routinely Monday-Friday with occasional planned weekend working. Individuals are required to work shift patterns to ensure adequate cover of the service across the day which operates from early morning-evenings. The PBT service is committed in supporting staff to find ways in which they can work flexibly to find an appropriate work life balance.
As a novel and highly specialised service there is extensive opportunity to continually develop within this role and ample funding is available for ongoing professional development of all post holders as well as opportunities to attend relevant conferences as a representative of the profession, department and Trust. Interested candidates are encouraged to contact the service to discuss the benefits and opportunities.
Job description
Job responsibilities
DUTIES AND RESPONSIBILITIES
Principal duties and responsibilities
- To act as the operational lead for Proton beam therapy (PBT) Day Unit and PBT paediatric review team, providing strategic vision and developing and maintaining relevant policies relating to the care of paediatric PBT patients
- Work in partnership with the photon principal radiographers to collaboratively manage the whole service.
- As part of the PBT management team contribute to the development and delivery of high-quality patient orientated services in proton therapy.
- Assume full responsibility for paediatric nursing leadership and be largely autonomous within the role.
- Assume strategic responsibility for paediatric clinical
- Provide non-medical paediatric clinical leadership
- Support the Chief Nurse and Divisional Associate Chief Nurse in strategic development, implementation and monitoring of paediatric clinical governance ensuring that systems, processes and policies are established in the Trust that consider paediatric patients.
- The Advanced Nurse Practitioner (ANP) is an advanced practitioner who demonstrates highly developed specialist knowledge and skills in the diagnosis, support and management of a defined patient They should be able to identify complications of treatment and take appropriate action to ensure patient safety.
- To deliver an advanced level of holistic care to paediatric patients; utilising support services appropriately. The ANP will be able to practice autonomously within their professional boundaries and will liaise closely with medical colleagues to ensure the safe delivery of treatment to patients.
- The ANP will formulate clinical decisions and complex treatment plans to manage acute radiotherapy toxicity and psychosocial issues by responding to actual and potential health problems appropriately.
- To participate in risk management assessments and the development of evidence based strategies to enhance the quality of care for the patients.
- To promote the advancement of nursing practice in
- To have a presence on local and national strategy boards, advising on future service development and participating in policy planning and promotion
Strategic
- To develop and maintain a positive culture for change ensuring regulatory compliance for paediatric care.
- Develop and maintain a clear paediatric patient safety strategy which links clinical governance, risk management, education, research and audit.
- To represent the directorate/Trust in relevant committees and other groups as a Lead Nurse and those related to paediatric medical care
- To take prompt action to address shortfalls in standard of paediatric
- To provide regular reports to the Divisional boards, the executive team on areas of
- Nurture key relationships and maintain networks internally and externally including Royal Manchester Childrens Hospital.
- Ensure appropriate systems in place for clinical risk management and reporting of incidents regarding paediatric patients.
- Work in conjunction of the senior team to ensure services are developed that are in line with the Trusts strategic objectives
Leadership
- Provide professional leadership for paediatric services in the Trust in accordance with the NMC Professional Code of Conduct. Liaise with professional heads of service for all professionals delivering paediatric services. Ensuring the maintenance of the delivery of high quality and safe patient care.
- To support the Chief Nurse and Divisional Associate Chief Nurse by providing expertise across the trust regarding childrens nursing.
- Deliver initiatives in childrens nursing that support all clinical quality accreditation, for example Care Quality Commission (CQC).
- Engage with and understand patient and families/carer needs and perspectives
Supervisory and Managerial Responsibilities
- Supervision and line management of paediatric nursing staff, specialist radiographers and other relevant staff in the PBT Team
- As a senior clinical manager within the organisation contribute fully to its overall performance and maintain at all times the highest level of professional
- Provide operational line management for paediatric services in the
- Ensure that the relevant Services Manager is kept informed of any issues affecting the delivery and safety of the service.
- Ensure compliance with radiotherapy quality system and Trust system for policies and
- To lead on clinical governance and risk management within the proton pre-treatment
- Use professional judgement and experience to give direction and advice to other staff
- Make independent judgements and take any appropriate actions concerning cancellation, alteration or suspension of a patients pathway.
- To investigate complaints and concerns from patients and other healthcare professionals as per the Trust policy.
- To investigate errors and incidents as per the Trust
- Ensure that performance of staff within the review team is monitored If necessary, take appropriate action in accordance with Trust Policies
Clinical
- To participate in the direct clinical management of paediatric patients in PBT. This includes history taking, systematic physical examination, formulating clinical management plans, and prescribing appropriate treatment.
- Manage medical care of paediatric patients post anaesthesia following PBT and
- Plan and manage own workload, in a flexible manner and manage patient caseload, ensuring that service provision meets patient need.
- To perform complex clinical procedures as required with the scope of the role, as documented in relevant ANP competencies for advanced practice.
- Maintain and continuously develop expertise and competence within the field of oncology collaborating with other ANPs, specialist radiographers, medical staff, and other professionals to facilitate the management of patients.
- To consent patients for treatment and procedures as per Trust
- Prescribe medicines, in capacity of an independent non-medical prescriber as per Trust
- Develop a close working relationship with Royal Manchester Childrens Hospital (RMCH) liaising with relevant professionals and making appropriate and timely referrals when
- Develop and maintain a close working relationship with paediatric anaesthetic team for patients undergoing general anaesthesia for radiotherapy.
- Arrange or refer the patient for appropriate diagnostic tests and investigations, interpret these and take action as indicated.
- Communicate highly complex, sensitive or contentious information to patients and carers. This may include results of scans, management options and details of prognosis and impending death.
- Educate patients and their carers on issues surrounding health promotion and illness prevention. Promote and facilitate changes to lifestyle where appropriate.
- Communicate with the patients referring specialist, general practitioner and other community-based services at regular intervals, both verbally and in writing.
- Collaborate within the Cancer Network and offer clinical support to colleagues within cancer units, relating to individual patient management, health care delivery and strategic policy initiatives. Assist in the development of integrated patient pathways (such as NICE Guidance on Cancer Services).
- Act as an expert resource in providing advice and support to ward/departmental areas, and the wider community, on the management of specific oncological diseases
- To support, educate and provide exceptional standards of care as an independent practitioner for all radiotherapy patients and their carers during treatment and beyond. Develop patient information specific to own area of expertise.
- Communicate effectively and sensitively with patients who have cancer and their families/carers by offering support, treatment and side effects information.
- To attend relevant oncology clinics to make initial contact with this group of
- To participate in discussion of current and future patient management at MDT (multi- disciplinary team) Communicate the outcome of these meetings to patients and carers, ensuring they fully understand
- To liaise with other departments involved in providing a high standard of service to patients (i.e. specialist/research nurses, surgeons, clinical oncologists) and provide timely and evidence-based information as appropriate.
- Develop and maintain advanced paediatric life support skills and provide a presence within the emergency team as required. Carry the bleep for paediatric crash calls. Train others in basic paediatric
- Participate in the extended shift system, bank holidays, weekend
- To undertake any other reasonable duties as necessary
Patient care and communication
- Be flexible, adaptable and communicate positively at all
- Provide information at an appropriate level of understanding to ensure a patient and/or carer is fully informed at all stages of the pathway.
- Liaise with members of the multidisciplinary team as appropriate
- Communicate with patients, families and carers with empathy and
- Responsibility to safeguard and promote the welfare of children and young To co- operate with other agencies to protect individual children and young people from harm
Teaching and Training
- Participate in the development and delivery of specialist teaching programmes both within the Trust and at local and national level.
- Mentorship of trainee
- To assist with induction sessions for new Trust staff and visiting health care
- To supervise medical, nursing and AHP students and support
- Act as an expert resource and provide advice, information and support to nursing and medical staff caring for critically ill children.
- Develop education programmes and material relating to paediatric and TYA patients and their carers
This job description is not exhaustive and will be reviewed periodically to take into account changes and developments in service requirements. Any changes will be discussed fully with the post holder.
** SEE ATTACHED FOR FULL DETAILS **
Job description
Job responsibilities
DUTIES AND RESPONSIBILITIES
Principal duties and responsibilities
- To act as the operational lead for Proton beam therapy (PBT) Day Unit and PBT paediatric review team, providing strategic vision and developing and maintaining relevant policies relating to the care of paediatric PBT patients
- Work in partnership with the photon principal radiographers to collaboratively manage the whole service.
- As part of the PBT management team contribute to the development and delivery of high-quality patient orientated services in proton therapy.
- Assume full responsibility for paediatric nursing leadership and be largely autonomous within the role.
- Assume strategic responsibility for paediatric clinical
- Provide non-medical paediatric clinical leadership
- Support the Chief Nurse and Divisional Associate Chief Nurse in strategic development, implementation and monitoring of paediatric clinical governance ensuring that systems, processes and policies are established in the Trust that consider paediatric patients.
- The Advanced Nurse Practitioner (ANP) is an advanced practitioner who demonstrates highly developed specialist knowledge and skills in the diagnosis, support and management of a defined patient They should be able to identify complications of treatment and take appropriate action to ensure patient safety.
- To deliver an advanced level of holistic care to paediatric patients; utilising support services appropriately. The ANP will be able to practice autonomously within their professional boundaries and will liaise closely with medical colleagues to ensure the safe delivery of treatment to patients.
- The ANP will formulate clinical decisions and complex treatment plans to manage acute radiotherapy toxicity and psychosocial issues by responding to actual and potential health problems appropriately.
- To participate in risk management assessments and the development of evidence based strategies to enhance the quality of care for the patients.
- To promote the advancement of nursing practice in
- To have a presence on local and national strategy boards, advising on future service development and participating in policy planning and promotion
Strategic
- To develop and maintain a positive culture for change ensuring regulatory compliance for paediatric care.
- Develop and maintain a clear paediatric patient safety strategy which links clinical governance, risk management, education, research and audit.
- To represent the directorate/Trust in relevant committees and other groups as a Lead Nurse and those related to paediatric medical care
- To take prompt action to address shortfalls in standard of paediatric
- To provide regular reports to the Divisional boards, the executive team on areas of
- Nurture key relationships and maintain networks internally and externally including Royal Manchester Childrens Hospital.
- Ensure appropriate systems in place for clinical risk management and reporting of incidents regarding paediatric patients.
- Work in conjunction of the senior team to ensure services are developed that are in line with the Trusts strategic objectives
Leadership
- Provide professional leadership for paediatric services in the Trust in accordance with the NMC Professional Code of Conduct. Liaise with professional heads of service for all professionals delivering paediatric services. Ensuring the maintenance of the delivery of high quality and safe patient care.
- To support the Chief Nurse and Divisional Associate Chief Nurse by providing expertise across the trust regarding childrens nursing.
- Deliver initiatives in childrens nursing that support all clinical quality accreditation, for example Care Quality Commission (CQC).
- Engage with and understand patient and families/carer needs and perspectives
Supervisory and Managerial Responsibilities
- Supervision and line management of paediatric nursing staff, specialist radiographers and other relevant staff in the PBT Team
- As a senior clinical manager within the organisation contribute fully to its overall performance and maintain at all times the highest level of professional
- Provide operational line management for paediatric services in the
- Ensure that the relevant Services Manager is kept informed of any issues affecting the delivery and safety of the service.
- Ensure compliance with radiotherapy quality system and Trust system for policies and
- To lead on clinical governance and risk management within the proton pre-treatment
- Use professional judgement and experience to give direction and advice to other staff
- Make independent judgements and take any appropriate actions concerning cancellation, alteration or suspension of a patients pathway.
- To investigate complaints and concerns from patients and other healthcare professionals as per the Trust policy.
- To investigate errors and incidents as per the Trust
- Ensure that performance of staff within the review team is monitored If necessary, take appropriate action in accordance with Trust Policies
Clinical
- To participate in the direct clinical management of paediatric patients in PBT. This includes history taking, systematic physical examination, formulating clinical management plans, and prescribing appropriate treatment.
- Manage medical care of paediatric patients post anaesthesia following PBT and
- Plan and manage own workload, in a flexible manner and manage patient caseload, ensuring that service provision meets patient need.
- To perform complex clinical procedures as required with the scope of the role, as documented in relevant ANP competencies for advanced practice.
- Maintain and continuously develop expertise and competence within the field of oncology collaborating with other ANPs, specialist radiographers, medical staff, and other professionals to facilitate the management of patients.
- To consent patients for treatment and procedures as per Trust
- Prescribe medicines, in capacity of an independent non-medical prescriber as per Trust
- Develop a close working relationship with Royal Manchester Childrens Hospital (RMCH) liaising with relevant professionals and making appropriate and timely referrals when
- Develop and maintain a close working relationship with paediatric anaesthetic team for patients undergoing general anaesthesia for radiotherapy.
- Arrange or refer the patient for appropriate diagnostic tests and investigations, interpret these and take action as indicated.
- Communicate highly complex, sensitive or contentious information to patients and carers. This may include results of scans, management options and details of prognosis and impending death.
- Educate patients and their carers on issues surrounding health promotion and illness prevention. Promote and facilitate changes to lifestyle where appropriate.
- Communicate with the patients referring specialist, general practitioner and other community-based services at regular intervals, both verbally and in writing.
- Collaborate within the Cancer Network and offer clinical support to colleagues within cancer units, relating to individual patient management, health care delivery and strategic policy initiatives. Assist in the development of integrated patient pathways (such as NICE Guidance on Cancer Services).
- Act as an expert resource in providing advice and support to ward/departmental areas, and the wider community, on the management of specific oncological diseases
- To support, educate and provide exceptional standards of care as an independent practitioner for all radiotherapy patients and their carers during treatment and beyond. Develop patient information specific to own area of expertise.
- Communicate effectively and sensitively with patients who have cancer and their families/carers by offering support, treatment and side effects information.
- To attend relevant oncology clinics to make initial contact with this group of
- To participate in discussion of current and future patient management at MDT (multi- disciplinary team) Communicate the outcome of these meetings to patients and carers, ensuring they fully understand
- To liaise with other departments involved in providing a high standard of service to patients (i.e. specialist/research nurses, surgeons, clinical oncologists) and provide timely and evidence-based information as appropriate.
- Develop and maintain advanced paediatric life support skills and provide a presence within the emergency team as required. Carry the bleep for paediatric crash calls. Train others in basic paediatric
- Participate in the extended shift system, bank holidays, weekend
- To undertake any other reasonable duties as necessary
Patient care and communication
- Be flexible, adaptable and communicate positively at all
- Provide information at an appropriate level of understanding to ensure a patient and/or carer is fully informed at all stages of the pathway.
- Liaise with members of the multidisciplinary team as appropriate
- Communicate with patients, families and carers with empathy and
- Responsibility to safeguard and promote the welfare of children and young To co- operate with other agencies to protect individual children and young people from harm
Teaching and Training
- Participate in the development and delivery of specialist teaching programmes both within the Trust and at local and national level.
- Mentorship of trainee
- To assist with induction sessions for new Trust staff and visiting health care
- To supervise medical, nursing and AHP students and support
- Act as an expert resource and provide advice, information and support to nursing and medical staff caring for critically ill children.
- Develop education programmes and material relating to paediatric and TYA patients and their carers
This job description is not exhaustive and will be reviewed periodically to take into account changes and developments in service requirements. Any changes will be discussed fully with the post holder.
** SEE ATTACHED FOR FULL DETAILS **
Person Specification
Qualifications
Essential
- oRSCN/RN (Child)
- oMSC in Advanced Nursing practice
- oNon-medical prescriber
- oOncology course/equivalent experience
- oMentorship qualification
- oPaediatric Intermediate Life support
- oSafeguarding level 3
Desirable
- oAdvanced Paediatric Life Support
- oLeadership qualification
- oGood clinical practice (GCP)v
- oTeaching qualification
- oPost registration oncology course
Experience
Essential
- oPost registration experience in children's nursing at a senior level
- oEvidence of clinical expertise of caring for acutely unwell children
Desirable
Skills
Essential
- oAbility to lead and develop nursing practice
- oExcellent communication skills
- oAbility to manage own workload
- oGood knowledge of computing, use of email and word processing.
- oAbility to prioritise and manage a heavy workload and complete tasks effectively
Desirable
- oExperience of working
- oAdvanced communication skills course
- oGood clinical practice (GCP) training
Knowledge
Essential
- oSound working knowledge of current legislation/policies related to area of work (paediatric oncology)
- oBroad knowledge of clinical governance
- oEvidence of sound clinical knowledge
Desirable
- oDemonstrable clinical and medical oncology knowledge
VALUES
Essential
- oAbility to demonstrate the organisational values and behaviours
OTHER
Essential
- oFlexible
- oReliable
- oHighly committed and motivated
- oConscientious and hardworking with a high level of organisational ability
- oAble to work without supervision
- oAbility to remain calm under pressure
Person Specification
Qualifications
Essential
- oRSCN/RN (Child)
- oMSC in Advanced Nursing practice
- oNon-medical prescriber
- oOncology course/equivalent experience
- oMentorship qualification
- oPaediatric Intermediate Life support
- oSafeguarding level 3
Desirable
- oAdvanced Paediatric Life Support
- oLeadership qualification
- oGood clinical practice (GCP)v
- oTeaching qualification
- oPost registration oncology course
Experience
Essential
- oPost registration experience in children's nursing at a senior level
- oEvidence of clinical expertise of caring for acutely unwell children
Desirable
Skills
Essential
- oAbility to lead and develop nursing practice
- oExcellent communication skills
- oAbility to manage own workload
- oGood knowledge of computing, use of email and word processing.
- oAbility to prioritise and manage a heavy workload and complete tasks effectively
Desirable
- oExperience of working
- oAdvanced communication skills course
- oGood clinical practice (GCP) training
Knowledge
Essential
- oSound working knowledge of current legislation/policies related to area of work (paediatric oncology)
- oBroad knowledge of clinical governance
- oEvidence of sound clinical knowledge
Desirable
- oDemonstrable clinical and medical oncology knowledge
VALUES
Essential
- oAbility to demonstrate the organisational values and behaviours
OTHER
Essential
- oFlexible
- oReliable
- oHighly committed and motivated
- oConscientious and hardworking with a high level of organisational ability
- oAble to work without supervision
- oAbility to remain calm under pressure
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).
