Clinical Nurse Specialist

The Christie NHS Foundation Trust

Manchester

On-site

GBP 43,000 - 55,000

Full time

5 days ago

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Job summary

The Christie NHS Foundation Trust in Manchester is seeking a highly motivated Clinical Nurse Specialist to provide specialist input to patients with gynaecological cancer. You will work with the multidisciplinary team to deliver excellent patient experience, manage symptoms, and signpost to services.

The role demands autonomous working, strong communication, leadership, and collaborative development of care protocols within the Gynaecology nursing team.

Qualifications

RGN/RN qualification required.
Level 6 degree study in Nursing/Health-related subject.
Master’s level study (Level 7) preferred.
Counselling Certificate desirable.
Palliative Care Certificate desirable.
Gynaecological nursing qualification required.
Non-Medical Prescribing or willingness to undertake.

Responsibilities

Act as Key Worker for Gynaecological cancer patients and carers.
Provide assessment, advice, support and symptom/side-effect management.
Develop protocols/guidelines with the Gynae Disease Group.
Attend MDT meetings and liaise with Research Nurses and others.
Maintain accurate patient records and comply with Data Protection Act 2018.
Undertake clinical leadership and contribute to service development.

Skills

Communication skills

Interpersonal skills

Autonomous working

Leadership

Holistic assessment

Nursing assessment

Education

RGN/RN

Level 6 degree study (Nursing/Health)

Level 7 master's study

Counselling Certificate

Palliative Care Certificate

Gynaecological nursing qualification

Non-Medical Prescribing

Job description

The opportunity has a risen for a motivated nurse to join the Network Services Division The post will involve offering specialist nursing input to patients with Gynaecological Cancer. Together with the established Gynaecological and multi-disciplinary team, the CNS will aim to deliver a world class patient experience. The CNS will work within the busy and dynamic Gynaecology nursing team. Many patients will be receiving treatment to control their cancer and often have supportive and palliative needs. Sign posting patients to appropriate services, providing advice, support and symptom management is a fundamental aspect of the CNS role. The successful candidate will be highly motivated and driven to improve patient care and experience. The candidate must have exceptional communication and interpersonal skills. They will also have well-developed clinical and professional leadership skills to encourage and promote best outcomes for patients, their relatives and carers. The ability to work autonomously is paramount for this post together with confidence to engage and work with a range of colleagues at all levels and from all professional groups.

Main duties of the job

The successful candidate will be required to collaborate with all members of the Multidisciplinary Team, both internally and externally including referring hospitals, GPs, District Nurses and Specialist Nurses across the Network to ensure there is a smooth transition for patients and carers from hospital to the community and vice versa.
They will need to demonstrate initiative and vision in moving the service forward as well as developing standards and protocols for the management of this patient group.
Other responsibilities are outlined in the Job Description

Working for our organisation

The Christie is one of Europe’s leading cancer centres, looking after more than 64,000 patients a year. We are based in Manchester and serve a population of 3.2 million across Greater Manchester & Cheshire, but as a national specialist around 25% patients are referred to us from other parts of the country.

We are the largest radiotherapy provider in the NHS with one in 20 treatments delivered at The Christie. We have up to 15 linear accelerators operating across our network of sites. We operate the largest chemotherapy unit in the UK on our main site and treatments are also provided at 13 other networked sites, and in patients homes. And as a specialist tertiary surgical centre, we focus on rare cancers, complex procedures, and multidisciplinary approaches to cancer surgery, specialising in colorectal, peritoneal, gynaecological, urological and plastic surgery.

We are also an international leader in research, with world first breakthroughs for over 100 years. We have been named by the UK’s National Institute for Health Research (NIHR), as one of the best hospitals providing opportunities for patients to participate in clinical research studies, with more than 800 studies open at any time, caring for over 3,000 patients.

Detailed job description and main responsibilities

To act as Key Worker for Gynaecological cancer patients, carers and other professionals during the patient pathway at the Christie for non-surgical treatments, from first referral through to end of life or discharge from follow-up

To work independently and collaboratively providing assessment, advice, support and symptom/side-effect management for patients, carers and other professionals.

To work as a member of the Gynaecological Disease Group with responsibility for the development and review of protocols / guidelines which promote innovative clinical nursing practice and integration of patient care.

To be aware of change at national and local level and how it affects the service provided

To undertake clinical and organisational audit, promoting the importance and value of undertaking such initiatives through multi professional collaboration.

Demonstrates the agreed Christie set of values and is accountable for own attitude and behaviour.

Clinical duties

To accept referrals, undertake a Holistic Needs Assessment and formulate the ongoing personalised care plan. Referring appropriately to services in the acute and community setting.
To attend appropriate Gynaecological clinics and liaise closely with the patients, nurses and doctors attending these. To provide continuity of care across the group, particularly with regard to integrating radiotherapy and chemotherapy. To provide information about side effects of treatment and ensure clear and concise documentation is completed.
To be fully conversant with treatment protocols.
To communicate effectively and support / counsel patients and carers prior to, during and after treatment.
Work in a collaborative manner with the rest of the team to work towards all patients having End of Treatment Summaries and Long-Term Care Plans.
When appropriate have conversations with patients about their Preferred Priorities of Care and Advanced Care Planning, document and communicate with the other professionals involved.
Assess out-patients, both face-to-face and via phone, in multi-disciplinary and nurse led clinics, formulating appropriate clinical decisions and management plans through history taking and physical examination.
Provide specialist assessment, support and information around psycho-sexual, fertility and menopause issues.
Maintains accurate patient records to ensure information is accurate and up to date for future reference and complies with the Data Protection Act 2018, prepares care plan to ensure the delivery of effective patient care.
Non-medical prescribing (within the limits of your competence) to manage treatment toxicity and symptoms for patients with gynaecological cancer.
To attend MDT meetings as appropriate and contribute to the discussion about individual patients. To attend other professional and clinical meetings as appropriate.
To be aware of current research protocols and liaise with the Research Nurses from the Gynae Research Team and Observational & Supportive Team as appropriate.
To act always in accordance with the NMC Code guiding documents.
To be aware of all non-surgical Gynaecological cancer patients admitted as inpatients and liaise with nursing and junior medical staff involved in their care.
In collaboration with the Gynae Advanced Practitioners to act as a point of contact for patients and their carers in the community.
To implement/follow Trust Policies and Procedures to ensure safe and effective delivery of care.

Managerial/Clinical Leadership.

To provide specialist, expert clinical knowledge to clinical colleagues, patients and carers/relatives both within and outside the Trust.
To provide written evidence of service development and performance.
Initiate and support clinical developments / projects to promote excellence in patient care.
Promote patient and public involvement activities in the specialist area, leading to service improvement.
Attend and participate in the GM Gynae CNS Network Meetings
Act as a role model always presenting a professional image
Evaluate service delivery; identify areas for improvement to promote excellence in patient care and initiate change. Involve patients and the public in service development as appropriate.
To build effective professional relationships with the GM Cancer Alliance and across Acute and Community settings.
Provide and receive clinical supervision and mentorship to facilitate reflective practice.
Line manages other nurses or support staff on the team as appropriate

Education and Development

To participate in annual appraisal and accept personal responsibility for professional growth and development. Maintain a professional portfolio.
Ensure compliance with Trust essential training.
To identify training and educational needs of colleagues and develop educational programmes in collaboration with the AP and CNS colleagues e.g. ward teaching particularly the BMRU.
Use relevant educational opportunities, including attending local, national and international conferences, to ensure provision of the highest standards of patient care that is evidence based. Provide written and verbal feedback to colleagues.
Together with other professional colleagues develop information and resource packs for patients and their carers.

Research and Audit

To ensure that clinical practice is based on evidence and current best practice and to disseminate information to staff.
To identify opportunities for nursing research and to participate where appropriate in nursing and multi-disciplinary research, clinical audit, and benchmarking, to improve effectiveness and quality of patient care.
Evaluate service delivery; identify areas for improvement and initiate change.
Establish improvements in practice through audit and research and disseminate through presentation at local, regional, national and international conferences and written publication.
Contribute to the writing of protocols relevant to own specialty

Contribute to the writing of protocols relevant to own specialty

Person specification

Qualifications

RGN/RN
Evidence of Level 6 (degree level) study in Nursing/Health related subject
Teaching and assessing
Evidence of Level 7 study (master’s level)
Counselling Certificate
Palliative Care Certificate
Gynaecological nursing qualification
Qualification in Psycho-Sexual Medicine or Counselling
Non-Medical Prescribing or willingness to undertake

Experience

Experience post registration
Experience in Oncology
Participation in service development and implementation of change
Nursing leadership
Project management
Experience of influencing change
Gynaecological cancer experience

Skills

Advanced communication skills or willingness to undertake
Able to analyse data and provide written reports
Able to work autonomously
Able to present information to professional groups
Ability to develop effective interpersonal relationships with colleagues across health and social care setting
Evidence of writing protocols/standards
Evidence of effective team working across professional and organisational boundaries
Evidence of undertaking clinical audit

Knowledge

Evidence of continuing professional development
Knowledge of professional and NHS issues, and policies relating to Gynaecological speciality

Values

Ability to demonstrate the organisational values and behaviours

Other

Demonstrates flexibility in working hours
Demonstrates flexibility in working across the Christie sites
Travelling to a different location over the Christie sites including Christie@Oldham and Christie@Salford

The closing date for this post may be extended if there are insufficient applicants or brought forward if there is a high volume of applicants. Application Information - If you have not heard from us within four weeks of the closing date, I regret that on this occasion your application will have been unsuccessful.

Sponsorship Information -We are an approved sponsoring organisation. Applications will be considered from applicants requiring sponsorship alongside all other applications.Please be aware, not all roles are eligible for sponsorship.You can review the list of eligible role and requirements on thegovernment website.

Pre-Employment Checks -To confirm your suitability for the role, we will carry out pre-employment checks in line withNHS Employment Check Standards . These include:

Identity verification
Right to work check
Disclosure and barring service (DBS)/Criminal record check (dependent on role, payment of this will be the applicants responsibility)
Professional registration and/or qualification check
Occupational health assessment
Employment history and reference validation

All applicants external to The Christie NHS Foundation Trust will be required to provide theirHMRC employment history to cover the most recent three years employment. This information will used to validate employment history andreferences.

If you require sponsorship, we will assess your eligibility based on currentgovernment guidance. If the role is not eligible and you cannot demonstrate your right to work, your conditional offer may be withdrawn.

If You're Offered the Role - you will be agreeing to The Christie NHS Foundation Trust transferring the information contained in this application to its preferred applicant management system. If you are offered a job information will also be transferred into the national NHS Electronic Staff Records system. Please note, all communication regarding your application will be made via email, please ensure you check your junk/spam folders as emails are sometimes filtered there.

The Inter-Authority Transfer (IAT) process is a critical and beneficial component of ESR and will form part of the recruitment process. In the event that you are successful following interview your previous NHS employment data, if applicable will be transferred from your current / most recent employer.

No Smoking Policy - You should be aware the Trust operates a No Smoking Policy and therefore employees are not permitted to smoke at work.

Additional Information - We want to ensure that everyone who works at the Christie or uses our services is welcomed, valued and treated with dignity and respect.The Christie values diversity and is committed to ensuring equal opportunities for all and fair representation across the organisation at all levels. In support of these commitments, we particularly welcome applications from Black, Asian and other ethnic minority people and people with disabilities for this post. Appointment will be only on merit.

We are committed to creating a balanced and diverse workforce. As such we welcome and encourage applications from people of all backgrounds. Together we will foster inclusion and tackle inequity and health inequalities in cancer care.

As users of the disability confident scheme, we guarantee to interview all disabled applicants who meet the minimum criteria for the vacancy.

The Christie NHS Foundation Trust is committed to the highest standards of ethical conduct and integrity in all our activities. We have a zero-tolerance approach to modern slavery in any of its forms, including slavery, servitude, forced or compulsory labour, and human trafficking. We are fully committed to acting ethically and with transparency in all our business dealings and relationships, and to implementing and enforcing effective systems and controls to ensure modern slavery is not taking place anywhere in our organisation or supply chains.

Employer certification / accreditation badges

You must have appropriate UK professional registration.

This post is subject to the Rehabilitation of Offenders Act 1974 (Exceptions) Order 1975 (Amendment) (England and Wales) Order 2020 and it will be necessary for a submission for Disclosure to be made to the Disclosure and Barring Service.

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