Job Description

An exciting opportunity has arisen for an Advanced Nurse Practitioner (ANP) to join our Acute Oncology Service (AOS) and Systemic Anti-Cancer Treatment (SACT) team. With support from experienced nursing and medical mentors, the postholder will work autonomously across the Private Patients Medical Day Unit at Cavendish Square and the AOS team at Chelsea.



This dynamic role includes advanced assessments of patients receiving SACT and those acutely unwell with oncological complications. The ANP will perform pre-treatment reviews, take histories, perform examinations, request and interpret investigations (e.g. bloods, imaging), and prescribe SACT and supportive care.



Within AOS, the ANP plays a key role in early recognition and management of acute deterioration, delivering timely interventions to prevent unplanned admissions and support safe discharge. The role enhances patient outcomes through rapid assessment and continuity of care.



The Royal Marsden operates across two main centres--Chelsea and Sutton--as well as a Private Diagnostics and Treatment Centre at Cavendish Square. This post offers a unique opportunity to work across both the Private Patients Medical Day Unit and the Acute Oncology Service (AOS), delivering expert care within two highly specialised environments.



The role is well-supported by an established team of ANPs and Specialist Doctors, fostering strong collaborative practice within a multidisciplinary setting. The successful candidate will contribute to service development, patient flow, and pathway optimisation across both sites, ensuring patients receive timely, safe, and effective care.



As part of this role, the ANP will be involved in complex decision-making, early escalation of complications, and coordination of care for patients undergoing cancer treatment. The post also provides opportunities to contribute to audit, teaching, and quality improvement initiatives aligned with national frameworks such as ACCEND and AOS measures. This is a progressive and influential role for an experienced or aspiring ANP looking to shape advanced practice in oncology and acute care.

Please note:

This post is offered in line with NHS Agenda for Change terms and conditions, including access to the NHS Pension Scheme and a comprehensive range of staff benefits.



The Royal Marsden NHS Foundation Trust is a world-leading cancer centre. Our role is to offer our patients the best cancer care available anywhere in the world, and to continue to make a global contribution to finding better ways of diagnosing and treating cancer. We employ over 4,500 staff in a diverse range of careers including nursing, medical, science, radiography, pharmacy, occupational therapy, finance and administrative services. We have two hospitals - one in Chelsea, London, and one in Sutton, Surrey - as well as a Medical Daycare Unit in Kingston Hospital.



At The Royal Marsden, we deal with cancer every day, so we understand how valuable life is. When people entrust their lives to us, they have the right to demand the very best. That's why the pursuit of excellence lies at the heart of everything we do.



At the heart of the hospital is our dedicated team. We offer a stimulating and dynamic working environment, a wide range of staff benefits, learning and development opportunities and clear career pathways. There are opportunities to work flexibly across a range of areas and specialities and we welcome flexible working requests from point of hire to support employees work life balance. We are looking for employees who aspire to excellence, share our values and can play a crucial role in our on-going achievements



For further information on this role, please see the attached detailed and Person Specification:



The ANP will order investigations (e.g. X Rays, blood tests) and interpret results and escalate concerns and abnormalities as appropriate to the Consultant or Outreach teams (if in RMH Chelsea). Take responsibility for organising, undertaking and interpreting investigations, as appropriate, to ensure patients are fit as possible for treatment where necessary discussing with the Consultant. Provide visible clinical leadership and expert evidence-based care through advanced assessment, diagnosis, and management of acutely unwell oncology patients; admit or discharge as appropriate in AOS, and request, interpret, and act upon diagnostic investigations in line with agreed protocols. Review and prescribe medication in a timely manner ensuring it is within own level of knowledge and competence and within the scope of the Trust's Policy for Non-Medical Prescribing qualification. Following protocol, ensure through good practice that customer care initiatives are improved and sustained. Act as a resource for expert advice to patients, relatives/carers and staff. To lead the provision of care in accordance with the Trust Policies reflecting current trends and developments in practice.

Applications are also welcome from individuals who do not yet meet all the essential criteria. In line with the ACCEND framework, such applicants may be considered for a Band 7 trainee role, with a structured development plan and supervision to support progression to a full Advanced Practice position. If they remain with the organisation and are subsequently offered a permanent post, continued development and progression to Band 8a will be supported.



We welcome and encourage informal visits or conversations about this opportunity. Please contact the Lead Nurse, Salma Roy, to arrange a suitable time.