Acute Oncology Clinical Nurse Specialist

Cwm Taf Morgannwg University Health Board; Merthyr Tydfil; On-site; GBP 42,000 - 52,000; Full time

Benefits offered by this job

NHS Pension

Flexible working

Career development opportunities

Job summary

Cwm Taf Morgannwg University Health Board in Wales is seeking an Acute Oncology Clinical Nurse Specialist to join the Acute Oncology Service. You will provide expert, patient-centred care for cancer patients with acute complications and work across teams to ensure timely assessment and appropriate management.

The post offers opportunities to develop advanced clinical skills and work with a multidisciplinary team, with a fixed term/secondment to 27 July 2027 and Welsh language-desirable criteria

Qualifications

• Evidence of continued professional development
• Sound clinical knowledge and experience of oncological emergencies
• Welsh Speaking & Listening skills at Level 3/B2 or above

Responsibilities

• Assess patients admitted as an emergency and ensure appropriate care and investigations per agreed pathways.
• Exercise professional autonomy and make critical judgements to provide holistic patient care.
• Involve patients and relatives in decision making and explain proceedings.
• Deliver evidenced-based, individualized care through holistic assessment, planning and evaluation.
• Advise clinical teams on investigations, diagnostics and imaging as per patient presentation and care pathways.
• Respond to oncological emergencies with appropriate management and clinical judgement.

Skills

Excellent communication

Welsh language skills

Education

First level degree in related subject or Degree Pathway

Post-basic qualification in cancer/palliative care

Advanced Communications Skills Training

Job description

Cwm Taf Morgannwg University Health Board

Acute Oncology Clinical Nurse Specialist

The closing date is 16 November 2026

Are you an enthusiastic and motivated registered nurse with a passion for delivering high-quality cancer care? This is a rare and exciting opportunity to join the Acute Oncology Service (AOS) and play a key role in improving the experience and outcomes of patients presenting with acute complications relating to cancer and its treatment.

The Acute Oncology Service provides urgent assessment, rapid initial management and specialist advice for patients who develop problems associated with cancer or systemic anti-cancer therapies. Working across organisational and specialty boundaries, the service ensures patients receive timely access to expert oncology input, helping to accelerate diagnosis, coordinate care and direct patients onto the most appropriate assessment and treatment pathways, regardless of where they present within the hospital.

As the Acute Oncology Clinical Nurse Specialist, you will work as an integral member of the Acute Oncology Team, delivering compassionate, patient-centred care to individuals affected by cancer. You will offer specialist advice, support and information to patients from diagnosis, throughout their cancer journey and during any acute episodes requiring urgent assessment or intervention.

The successful candidate will have the opportunity to develop advanced clinical assessment skills and work collaboratively with a wide range of healthcare professionals.

Main duties of the job

The aim of the service is to provide rapid identification and appropriate prompt management of patients that present with:

• previously undiagnosed cancer.
• complications as a direct consequence of their cancer e.g. metastatic spinal cord compression, hypercalcaemia.
• acute complications following cancer therapy e.g. neutropenic sepsis.

The CNS will provide clinical support and expertise in acute oncology assessment in the emergency admission areas, provide early input of Specialist Oncologist assessment and clinical management advice for unscheduled oncology emergency admissions with regard to the following:

• Complications related to chemotherapy.
• Complications of cancer.
• Suspected unknown primary cancer.
• To take the lead with regard to MSCC, Neutropenic Sepsis and Cancer of Unknown Primary.

This post is fixed term/secondment until 27th July 2027 to cover a secondment. Anyone wishing to apply for the post as a secondment must seek approval from their Line Manager before applying.

About us

Cwm Taf Morgannwg (CTM) University Health Board, part of NHS Wales, serves a large population across a diverse and beautiful region, steeped in history and heritage. With nearly 13,500 staff, our health board is one of Wales's largest employers.

Together, we are Team CTM; a workforce dedicated to offering excellent patient care and support to the 450,000 people across our three regions, Bridgend, Merthyr Tydfil, and Rhondda Cynon Taf. We operate three District General hospitals, several community hospitals, primary and community care facilities.

CTM's location offers the best of South Wales, just 20 minutes from Cardiff's vibrant city life, the natural beauty of the Brecon Beacons, and the serene coastline at Ogmore. Whether you enjoy lively urban amenities, peaceful countryside, or seaside escapes, our location makes an ideal setting for both work and personal life.

Our CTM 2030 Strategy--Our Health, Our Future--focuses on uniting our region around shared health and wellbeing goals. Our values guide us daily:

o We listen, learn, and improveo We treat everyone with respecto We work together as one team

CTM employees enjoy benefits including; a leading pension, generous leave, flexible work, career growth, and access to ongoing learning and development.

At CTM, you'll find a welcoming, team-oriented workplace that values diversity and compassion, where you can take pride in your work and the difference it makes.

Job responsibilities

You will be able to find a full Job description and Person Specification attached within the supporting documents or

Clinical Duties

• Assess patients admitted as an emergency and ensure they are receiving appropriate care and investigations as per agreed pathways whilst actively integrating theory into practice.
• Exercise professional autonomy and make critical judgements using knowledge andskills in order to provide the highest standards of holistic patient care.
• Ensure the patient and, if appropriate their relatives, are involved with decision making and aware of proceedings.
• Deliver evidence based individualised and personalised care through holistic needs assessment, planning and evaluation of care; act as an advocate for the patient.
• Advise clinical teams of the appropriate investigations, diagnostic tests and imaging according to patient presentation, care pathways and clinical competence.
• Respond to situations involving oncological emergencies using clinical judgement and decision making to initiate appropriate management.

Service Management

• As part of the Cancer MDT assist in the development of care pathways for the Acute Oncology Service.

Service Improvement

• To develop services in order to meet local/national objectives and standards.
• To assist in continuing development and audit of the role to develop relevant changes in patient or departmental needs, ensuring a quality service is provided and maintained and implementing of service improvements from the results.
• Contribute to Peer Review and ensure that services are compliant with Cancer Standards

This post is advertised as Welsh Desirable. Whilst the candidate doesn't need to have skills in Welsh, we'll consider it an advantage when short-listing and selecting candidates. This isnt fluency, just Speaking & Listening skills at Level 3 (equivalent to CEFR B2) or above. Level 3 means being able to communicate in Welsh during routine clinical situations, such as welcoming patients, discussing straightforward aspects of their care and answering routine questions. If youre comfortable holding everyday conversations in Welsh, we encourage you to apply. Your Welsh language skills will help us provide person-centred care and enable patients to receive services in their language of choice. Have a look at our Croeso Candidate booklet below for more information.

Person Specification

Qualifications

• Evidence of continued professional development
• Sound clinical knowledge and experience of oncological emergencies
• First level degree in related subject or undertaking a Degree Pathway
• Post-basic qualification in cancer/palliative care or relevant subject
• Advanced Communications Skills Training

Experience

• Evidence of good communications skills
• Experience of Audit and Research
• Experience of caring for patients and families of people with a newly diagnosed malignancy
• Ability to work autonomously and as part of a team
• Welsh Speaking & Listening skills at Level 3/B2 or above

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.

Cwm Taf Morgannwg University Health Board