Job Description

We are seeking a highly motivated Junior Gastrointestinal (GI) Surgical Clinical Nurse Specialist (CNS) to join our specialist nursing team at the Chelsea site and cover at the other sites if needed. This exciting role provides support across the colorectal surgical pathway and cross-cover with the upper GI surgical pathway.



The Junior GI Surgical CNS will deliver expert, compassionate, and patient-centred care to individuals with complex gastrointestinal conditions and their families. Working across inpatient and outpatient settings, you will ensure high-quality specialist support is provided from diagnosis through surgery and beyond, maintaining continuity of care at every stage of the patient journey.



As a vital member of the surgical multidisciplinary team and with the support of the band 7 GI surgical CNSs, you will:

Provide assessment, symptom management, and holistic support for patients undergoing those surgeries. Contribute to patient education and enhanced recovery pathways. Coordinate care to ensure safe, efficient, and timely surgical pathways. Actively contribute to service development, pathway redesign, and quality improvement initiatives. Deliver education and support to patients, families, and colleagues across the wider surgical team. Provide specialist input and continuity of care, supporting timely diagnostics, patient information, and pathway management.

As a key member of the MDT, the post holder will:

Deliver expert assessment, management, and support for patients and their families. Act as a patient advocate, providing education, advice, and information to support informed decision-making and self-management. Participate in nurse-led initiatives, contributing to service development, clinical governance, and quality improvement to ensure safe, high-quality pathways of care. Work autonomously within professional boundaries while collaborating closely with consultants, allied health professionals, and the wider MDT to ensure seamless coordination and communication. Support patients and their families with empathy and consistency, promoting a holistic approach to care. Act as a positive role model, supporting the induction and development of junior colleagues and promoting best nursing practice.

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



Deliver specialist nursing care for patients with colorectal and upper GI cancers from diagnosis through surgery, adjuvant treatment, and follow-up. Provide skilled assessment, advice, and support to patients and carers throughout the pathway, ensuring psychological, emotional, and informational needs are addressed. Support nurse-led and telephone clinics, under supervision when needed, to assess symptoms, coordinate investigations, and provide ongoing advice. Contribute to holistic needs assessments (HNA) and care planning, ensuring timely referrals to other professionals or support services. Participate in ward rounds, MDT meetings, and outpatient clinics to ensure seamless communication and continuity of care. Act as an advocate for patients, ensuring informed decision-making and promoting self-management and wellbeing. Support delivery of enhanced recovery and prehabilitation programmes where applicable. Develop skills in post-operative management and patient education for surgical recovery. * Maintain accurate, timely, and comprehensive clinical documentation in line with Trust policy.