Job Description

We are looking for an experienced Band 7 nurse ready to take on a new challenge of an autonomous expert practitioner in a role of a Cancer Clinical Nurse Specialist (CNS) in neuro-oncology post. You will be joining an expert cancer multi - professional team and supported by clear development plan. You will be responsible for offering expert clinical advice, emotional support and managing your own caseload of cancer patients. You will have particular responsibility for the brain metastases patients, ensuring their pathway between services is smooth and that they receive excellent care. Communication is key for this role, we are looking for an expert communicator able to share sensitive information in a skilled way. You will be championing and delivering NHSE cancer personalised care standards and ensuring issues associated with patients experience are visible to the MDM and are top quality priority for service improvement.



To work as an expert Neuro-oncology cancer nurse within cancer Multi-Disciplinary Team

To manage a caseload of patients/clients effectively in accordance with agreed National and South East London Cancer Alliance (SELCA) guidance, protocols and pathways of care

To focus on the metastatic brain tumour patient caseload, supported by team members to ensure good communication across teams and services

To ensure that patients and their families are fully informed and supported by providing clinical, emotional, psychological and social assessment and support in accordance with Personalised Care Standards described in the NHSE Long Term Plan

To assist in the development of evidence based clinical nursing practice in line with current research and guidelines

To establish clear lines of communication within the specialty team to ensure cohesive multidisciplinary management of patients

To be integral part of established cancer team and specialist MDM, maintaining excellent communication to support coordinated care between sites

To be act as a patient advocate at cancer MDM

To link with healthcare teams in order to increase knowledge and facilitate the care of this group of people in the community



King's College Hospital NHS Foundation Trust is one of the UK's largest and busiest teaching Trusts with a turnover of c1.8 billion, 1.5 million patient contacts a year and more than 15,000 staff based across South East London. The Trust provides a full range of local and specialist services across its five sites. The trust-wide strategy of Strong Roots, Global Reach is our Vision to be BOLD, Brilliant people, Outstanding care, Leaders in Research, Innovation and Education, Diversity, Equality and Inclusion at the heart of everything we do. By being person-centred, digitally-enabled, and focused on sustainability, we aim to take Team King's to another level.



We are at a pivotal point in our history and we require individuals who are ready to join a highly professional team and make a real, lasting difference to our patients and our people.



King's is committed to delivering Sustainable Healthcare for All via our Green Plan. In line with national Greener NHS ambitions, we have set net zero carbon targets of 2040 for our NHS Carbon Footprint and 2045 for our NHS Carbon Footprint Plus. Everyone's contribution is required in order to meet the goals set out in our Green Plan and we encourage all staff to work responsibly, minimising their contributions to the Trust's carbon emissions, waste and pollution wherever possible.

Job Summary:

To work as an advanced practitioner and effectively deliver an expert nursing service within the specialist area

To manage a caseload of patients/clients

To act as the key worker for a case load of patients

To ensure that patients and their families are fully informed and supported by providing clinical and social support

To assist in the development of evidence based clinical nursing practice in line with current research and guidelines

To establish clear lines of communication within the specialty team to ensure cohesive multidisciplinary management of patients

To link with healthcare teams in order to increase knowledge and facilitate the care of this group of people in the community.

To provide support to the associate nurse specialist.



Particular emphasis is put at Kings on the need to ensure that all staff recognize their responsibility to deliver services in a high quality, courteous, patient focused manner maintaining patient confidentiality at all times.

Main duties and responsibilities:

1. Clinical Practice



To assist in the delivery of an advanced specialist nursing service for people with specialist needs



To provide specialist nursing advice and support to patients, their families and other healthcare professionals following diagnosis and through treatment

To ensure continuity of a high standard of evidence based nursing care, assessing health, health related and nursing needs of patients, their families and other carers by identifying and initiating appropriate steps for effective care. This can include:



Managing a patient caseload Ordering diagnostic tests Making and receiving referrals Admitting and discharging patients for specified conditions and within agreed protocols Facilitating outpatient clinics Delivering the nurse-led results clinic Participating in the delivery of the radiotherapy telephone follow up clinic

To accept responsibility for own patient caseload, ensuring all patients have an accurate plan of care, which reflects the assessment undertaken and incorporates the issues and recommendations made ensuring clear documentation in the patient's records

To be actively involved in in-patient care, liaising with ward staff to ensure high quality nursing care

To attend out-patients, ensuring nurse consultation with all newly diagnosed patients

To follow-up patients as appropriate and ensure all relevant information is available to enable patients to make an informed choice about their treatment

To attend and present patient's histories at the weekly MDT meetings ensuring all patients are represented

To feedback the MDT outcomes to the referrers with the MDT co-ordinator

To deliver a seamless service through the development of enhanced Multidisciplinary team (MDT) processes and communication

To participate in the identification and development of clinical protocols and strategies to enhance both the continuity and standard of specialist care whilst ensuring equity of access to the service

To participate in the annual review process of operational policies in accordance with national standards

To attend the quarterly service improvement meetings, participating where appropriate

To ensure all care is given in accordance with agreed protocols.

To work with key staff members to maintain nurse led pre-assessment/assessment and out patient follow-up services. Providing detailed baseline patient assessment and education and support to patients and their families

To regularly review those clinical notes of patients requiring imminent admission, ensuring all assessments, diagnostic investigation and test results are up-to-date and in place to ensure a smooth admission process

To liaise with the discharge coordinator and ward staff to ensure appropriate and timely discharge/follow-up arrangement in place for patients

To maintain a suitable mechanism for MDT referrals to the Clinical Nurse Specialists

To work with the MDT to develop, implement and evaluate integrated care pathways and systems of MDT documentation

To liaise with local community, social services, paramedics and voluntary organisations in order to develop existing services for clients, carers and health professional

To actively involve service users in providing feedback of their experience of the current service and suggestions for improvements.

To participate in the development of appropriate patient group directives to facilitate/enhance the discharge process

To participate in relevant fora at Care Group, Trust or PCG/PCT Level to represent the service perspective