HCC Surveillance Pathway Navigator

UHCW; Coventry; On-site; GBP 28,000 - 31,000; Full time

Job summary

University Hospitals Coventry and Warwickshire NHS Trust is seeking a Pathway Navigator to support the Liver Health Checks programme. The role focuses on coordinating care for patients with cirrhosis, managing surveillance pathways, and ensuring timely scans and follow-ups within a national cancer strategy framework.

Under supervision, you will liaise with multi-disciplinary teams, maintain patient tracking, and promote patient engagement in surveillance pathways across the network.

Qualifications

• Degree in Nutrition and Dietetics with HCPC registration is essential.
• Postgraduate level evidence of clinical dietetic development and CPD is desirable.
• BDA membership and teaching/leadership training are beneficial.

Responsibilities

• Schedule Liver Health Checks clinics across the ODN.
• Maintain a Patient tracking list for current surveillance.
• Coordinate referrals from community CNS to Hepatology and radiology within timelines.
• Provide administrative support to clinical teams and maintain data accuracy.
• Identify next steps in the surveillance pathway and milestones per guidelines.
• Provide basic telephone advice regarding appointments and reminders.
• Print or email patient information and signpost to relevant services.
• Monitor adherence to surveillance dates and re-engage patients as needed.

Skills

Dietetic counselling

Motivational interviewing

Negotiation skills

Communication skills

Education

Degree in Nutrition and Dietetics

HCPC registration

Job description

Main area Gastroenterology / Hepatology Grade NHS AfC: Band 4 Contract Fixed term: 9 months (Secondment will be considered for internal candidates – If you are successful after interview, you must obtain approval from your current line manager to accept the offer.) Hours Full time - 37.5 hours per week Job ref 218-AC-B4-8354056

Site University Hospitals Coventry and Warwickshire Town Coventry Salary £28,392 - £31,157 per annum pro rata Salary period Yearly Closing 28/10/2026 23:59

Job overview

This is a role to support the delivery of the West Midlands Liver Health Checks Operational Delivery Network and the regional Hepatocellular Cancer Surveillance.

Hepatocellular carcinoma (HCC) is the most common type of primary liver cancer and presents in patients with cirrhosis.

The pilot aims to screen for liver disease in at risk populations and for those individuals with cirrhosis engage and retain them in hospital-based liver cancer surveillance pathways (6 monthly USS / bloods and clinical review). The aim is to contribute to the national strategy around early cancer diagnosis.

With direction, guidance and supervision of the team and Consultants, the post holder will coordinate the care and monitor surveillance pathways for patients with cirrhosis. The post holder will also have a specific focus to provide direct support for patients to maintain engagement in surveillance pathways ensuring they receive surveillance scans on schedule.

The Pathway Navigator will work as part of a multi professional team. Key deliverables include work to facilitate a smooth patient journey ensuring that co-ordinated and streamlined administrative processes revolve around patients identified as eligible for cancer surveillance following a screening fibro scan in Liver Health Checks clinics across the network.

Successful applicants will be required to provide an immunisation and vaccination report, from either their current UK occupational health provider or their UK GP.

Main duties of the job

• Support scheduling of Liver Health Checks clinics across the Operational Delivery Network (ODN)
• Maintain a Patient tracking list for standard of care (non-pilot) patients already engaged with HCC surveillance.
• Co-ordinate patient referrals from the community Liver Health Checks CNS (when active) to the Hepatology service and radiology department at the Trust in line with timings and requirements as set out in the pilot Surveillance pathway.
• Co-ordinate and provide administrative support to the clinical teams
• Maintain and populate the Patient Tracking list
• Identify next steps in the patients’ surveillance pathway in line with target surveillance dates.
• Develop an understanding of the milestones (eligability, call and recall set-up and 6 mothly USS and AFP monitoring, result stratification, diagnostic conirmation) within the Liver Cancer surveillance pathway and relevant national guidance (e.g., NICE)
• Provide basic telephone advice regarding appointments
• Make preplanned outbound telephone calls to patients to remind patients of upcoming surveillance scans / laboratory diagnostics
• This role may include printing out or emailing patient information assisting people accessing relevant web-based information or signposting to support services.
• Monitor patients on surveillance pathways and proactively find resolutions to improve adherence to target surveillance dates.
• To promote engagement and to reengage patients with surveillance following a DNA

Working for our organisation

University Hospitals Coventry and Warwickshire NHS Trust, rated as good by the Care Quality Commission, is one of the largest teaching Trusts in the UK.

We are extremely proud of our employees across our hospital sites, with high quality patient care at the heart of everything we do.

Boasting some of the most modern facilities in Western Europe, the Trust is renowned for being at the forefront of research and innovation as part of its blossoming reputation as a worldwide leader in healthcare.

By joining our exciting journey, you will form part of a passionate, talented team and will be able to access a wide range of learning and development opportunities. There has never been a better time to join our team.

The Trust is committed to building an organisation that makes full use of the talents, skills, experience, and different perspectives available in our diverse society. We want everyone to feel they are respected, valued, can achieve their potential and receive the most appropriate and relevant care. We will create anenvironment where the equality and human rights principles of fairness, respect, equality, dignity and autonomy are promoted and are part of the organisation's core values.

Detailed job description and main responsibilities

• Escalate any issues and breaches of the waiting times standards to relevant management in line with agreed escalation processes.
• Communicate information that is complex and sensitive pertaining to patients with diagnosed or suspected liver cancer.
• Responsibility for managing own time and ensuring tasks are completed in the required timeframe.
• Responsible for collating and updating patient information on the relevant databases in line with local policy, to ensure efficient pathway progress. This includes maintaining the accuracy of the data at all times.
• Working with the operational team and clinical team to analyse target surveillance breaches and report issues to the ODN management team.
• Support and contribute to audit processes, governance, research, clinical research trials and service development.

For further details please see the attached job description.

Secondment will be considered for internal candidates – If you are successful after interview, you must obtain approval from your current line manager to accept the offer.

Qualifications

• Degree in Nutrition and Dietetics HCPC registration Relevant post graduate master’s level qualification OR equivalent evidence of clinical dietetic development in specialist field Documented evidence of continuous professional Development related to specialist area Clinical Supervisory Training (students)
• BDA member Member of relevant BDA specialist interest group Teaching Qualification Advanced communication skills training Presentation skills training Leadership training Healthcare assessment module and prescribing (only if role has an identified need for prescribing)

Experience

• Significant clinical post graduate dietetic including experience in specialist clinical area Evidence of managing highly complex situations Excellent clinical knowledge of the nutritional management of a wide variety of clinical conditions based on current best practice Experience of leading on group and individual dietetic sessions including preparation, delivery and evaluation Significant experience of working as part of a multidisciplinary team Experience of supervising, mentoring and appraising colleagues Can give examples of leading on quality initiatives, audit and / or service improvement work (or research if applicable to post)
• Experience of line management Experience in research

Knowledge

• In depth dietetic knowledge in specialist area acquired through degree qualification and continuous professional development In depth knowledge of national strategy, policy and guidance relevant to post and how they an be applied in planning of services Knowledge of current issues and research relevant to specialist clinical area Aware of the different communication needs within a culturally diverse community and how this may impact on professional practice Sound knowledge of principles of clinical governance
• Post registration training in behavioural change and motivational interviewing

Skills

• Able to communicate with clients using expert dietary counselling, motivational and negotiation skills Able to anaylse highly complex information and make judgements on dietetic issues Able to adapt written and oral communication style to meet the needs of various audiences including people from a variety of backgrounds and communication needs without risk of misunderstanding Keyboard and IT skills to support clinical practice Flexible approach and willingness to adapt to change Clinical supervision skills

Commitment to Trust Values and Behaviours

• Evidence of demonstrating the Trust Values (Compassion, Openness, Pride, Partnership, Improve, Learn and Respect) and the associated Values in Action behaviours in the workplace. Evidence of promoting equality, diversity and inclusion, and ensuring fair and equitable practices throughout your work experience. Evidence of promoting a culture which helps individuals live behaviours aligned to our Trust Values (Compassion, Openness, Pride, Partnership, Improve, Learn and Respect)

To ensure that we provide world‑class patient care, UHCW recruits people that can demonstrate the Trust’s Values and Behaviours in their everyday life. Therefore, if you are invited to interview, you will be undertaking a Values Based Interview/Assessment, which explores not only what you do but how and why you do it.

Before applying, we encourage you to review the Trust’s Values and Behaviours which can be accessed on the right side of this page under the job description.
The Supporting Information Section in your application should therefore reflect your understanding of the Trust’s Values and associated Behaviours. You will be expected to provide us with examples from work experience and/or personal life which demonstrate these values through your behaviour.

The Trust is committed to Equal Opportunities within the workplace. All vacancies will be considered for Job Share unless otherwise stated. All applicants who have a disability and who meet the minimum criteria for the job will be interviewed. Where a post has an overwhelming response, this Trust may use random selection in order to reduce numbers to interview, any disabled applicants will automatically be guaranteed an interview and will be exempt from this process.

In submitting an application form, you authorise University Hospital Coventry & Warwickshire NHS Trust to confirm from your previous or current NHS employer and other prior employers; previous NHS service details and personal data held about you, including Occupational Health data (inoculations and screening tests). This data will be transferred using NHS Electronic Staff Record and third-party systems via an automated process and only used for the purposes of obtaining and maintaining accurate employment records, should you be appointed to the post.

UHCW NHS Trust, by virtue of its Green Plan, is committed to ensuring that the way we provide services minimises the impact on the environment and the future health of the public e.g. zero waste to landfill, reducing our carbon footprint and increasing our recycling and reuse percentages.

If you are successful at interview you will receive a conditional offer of employment and we’ll ask you for information so that we can carry out pre‑employment checks. You must successfully complete all pre‑employment checks to progress to a final unconditional offer.

We must confirm the identity of our staff and their right to work in the United Kingdom. We will ask you to submit proof of your identity and right to work documents via a secure digital platform approved by the Home Office, named TrustID. Alternatively, you may be asked to attend our office with original documents.

Depending on you level of exposure with patients you may be required to undertake a Standard or Enhanced DBS. The cost of this check will be charged to you and will be deducted from your salary over the first 3 months of employment at the current rate.

All correspondence will be sent by email; please check your account regularly including your Junk/SPAM folders

Employer certification / accreditation badges

The postholder will have access to vulnerable people in the course of their normal duties and as such this post is subject to the Rehabilitation of Offenders Act 1974 (Exceptions) Order 1975 (Amendment) (England and Wales) Order 2020 and as such it will be necessary for a submission for Disclosure to be made to the Disclosure and Barring Service to check for any previous criminal convictions.