Job responsibilities
Provide regular supported conversations with the person living with cancer, assessing their holistic needs, and supporting them to self-manage by providing relevant information and advice, and signposting to other Macmillan resources and services available to meet their identified needs
Following a holistic needs assessment, co-ordinate care and development of a personalised care plan with the person living with cancer so they can access the right help at the right time and providing a personalised response to any changes in need
Provides practical and emotional support to people living with cancer and their families. Recognising information needs may change over time and working with the person to ensure they have all the information and support they need at all stages of their cancer journey
Assess and interpret the needs of individuals attending/contacting the service and respond effectively to the needs of individuals providing a professional quality service
Triage individuals contacting the service face to face or by telephone / email and work autonomously to prioritise needs and initiate appropriate responses according to protocols and individual pathways
Deal with difficult and highly emotive situations in a sensitive manner using a high degree of empathy, understanding, diplomacy, integrity and base decisions on own judgement
Act autonomously in managing emotive and complex situations and know when to seek help
Demonstrate the ability to recognise and respond appropriately when faced with a sudden deterioration or an emergency situation, alerting the team or enabling rapid response as appropriate
Provide information and signposting to other supportive services and liaise with clinical staff to support patients and carers in distress
Be responsible for own workload, providing clinical advice within sphere of own knowledge and seek expertise as required
Able to be adaptable, multitask and prioritise under pressure working in an acute busy environment
Work unsupervised, with the ability to respond to situations without prior warning
Respond to any queries from patients, carers and visitors providing verbal and written information in a timely manner
Ensure that situations or enquiries requiring specialist intervention are referred appropriately and in a timely manner
Implement, monitor and review the care plan with the patient and carer, in line with standard operating procedures and protocols and modify as appropriate under the supervision of the Clinical Nurse Specialist
Identify the complexity of the situation, providing appropriate advice and escalating to the registered practitioner where appropriate
Co-ordinate the care for a defined group of patients providing direct (e.g. face to face and telephone) communication with patients, relatives, carers, and other health and social care professionals
Co-ordinate the necessary assessments, appointments or investigations to fast track people back into the system if required
Channelling and co-ordination of the patient follow-up pathway ensuring robust communication between medical staff, GPs, patients, relatives, members of the public and other disciplines within the Trust and close liaison with the community staff and oncology teams
Coach patients and carers on how to make contact when they feel that their condition or needs have changed, including what to do out of hours
Planning / inviting / organising of Health and Well-Being events or other supported self-management clinics
Co-ordinate remote surveillance and monitoring through appointments for investigations and feedback of results for non-complex cases
Demonstrate an awareness of the limits of own practice and knowledge and when to seek appropriate support / advice
Co-ordinate the handover with other teams to facilitate safe and effective transition of care between services
Act as advocate and facilitator to resolve issues that may be perceived as barriers to care
Maintain confidentiality at all times in line with Trust and Data Protection policies
Organisational
Act as a role model by maintaining credibility across the Trust, the wider health care community and external agencies, ensuring a positive image of the Trust is maintained
Ensure compliance with Trust policies, procedures and guidelines, taking action / alerting the Clinical Nurse Specialist if practice appears to contravene policy, or if concerned about any aspect of patient care
Participate in meetings internally or externally to the Trust, relevant to specialist area of practice, proactively contributing to the meeting by providing advice and expertise in own specialist area
Support the team in the effective use of resources, e.g. budget, supplies and material
Maintain systems and processes to promote a healthy, safe and secure working environment, ensuring compliance with legal and regulatory requirements, maintaining accurate documentation and reporting any concerns
Contribute to the development and maintenance of relationships with other departments, wards within the Trust and external agencies, charities, and regional cancer centres
Work collaboratively with clinical / non-clinical services internal and external to the organisation to provide a seamless service which is responsive to individual patients needs
Liaise with all members of the extended MDT to aid facilitation of a collaborative approach to the care of the patient
Be flexible in approach, able to exercise initiative and demonstrate a consistently high standard of professionalism, being aware of the need for confidentiality and integrity
Support and contribute to audit processes, governance, research, clinical research trials and service development
Education
Demonstrate willingness to identify own learning and development needs and willing to undertake further study both formal and informal to meet these
Take responsibility for own learning and development by recognising and taking advantage of all opportunities to learn, including full participation in appraisal, supervision, action learning
Identify personal education needs and skills development with the registered practitioner
Support the delivery of patient and carer training and education
Encourage and support active and health lifestyle choices
Coach patients and carers to understand what signs, symptoms and situations to be aware of that would indicate concern
Under supervision of the CNS deliver patient-centred, support and education as necessary to patients to include self-management, promoting health and well-being, and provide consistent planned follow up aftercare to reinforce and further promote this information.
