Job Description

An exciting opportunity has arisen to join an established Specialist Urology Oncology Nursing team. The role is within the Prostate Easy Access Support Service (PEASS), a remote monitoring and personalised aftercare programme for men who have been treated for prostate cancer at The Christie. You will be required to work across a range of IT systems to coordinate the patient pathway and will work both directly and indirectly with patients and their carers, to assist in coordinating the follow-up of prostate patients after their treatment.



It is expected that the post holder can work autonomously, using their own initiative within a specialised team.



You will be an enthusiastic and motivated individual with excellent communication skills.



You will be supported by the clinical nurse specialist team in delivering remote follow up and targeted education for patients following prostate cancer treatment.



You will be part of a sub-speciality team delivering patient support via telephone, email and at group education and wellbeing events.



You will use computer systems to review patient blood tests, communicate simple results and book appointments.

We are looking for someone who can:

ensure valid consent is obtained prior to patients being enrolled on remote monitoring.



Work in an effective and organised manner demonstrating excellent time management and organisational skills to effectively deliver person-centred care



Act in ways that acknowledge and recognise peoples expressed beliefs, preferences and choices, respecting diversity and valuing people as individual.



Coordinate/act independently to make OPD appointments for those with abnormal results, fast track patients back into the system if required.



You will also support the core Urology Clinical Nurse Specialist team by triaging emails and phone calls.



The Christie is one of Europe's leading cancer centres, treating over 60,000 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 15% patients are referred to us from other parts of the country.



We provide radiotherapy through one of the largest radiotherapy departments in the world; chemotherapy on site and through 14 other hospitals; highly specialist surgery for complex and rare cancer; and a wide range of support and diagnostic services. We are also an international leader in research, with world first breakthroughs for over 100 years.



We run one of the largest early clinical trial units in Europe with over 300 trials every year. Cancer research in Manchester, most of which is undertaken on the Christie site, has been officially ranked the best in the UK.



DUTIES AND RESPONSIBILITIES



Assisting Urology Clinical Cancer Nurse Specialist (CNS) team with the provision of elements of PCC to patients as required - Holistic Needs Assessment (HNA) & Care Planning, Health and Wellbeing offer, Treatment Summaries, Personalised Stratified Follow-up (PSFU). Supporting the Urology CNS and wider team where necessary.



Whilst undertaking personalised care interventions e.g. if completing an HNA, acknowledge that individuals may be affected by other co-morbidities which may add additional complexity to their cancer treatment and recovery. Including regular appointments that may also be for the management of their other healthcare needs.



Communicating effectively (face-to-face, telephone, remote/virtual) with a range of individuals on various levels, e.g. patients, relatives, carers, other health / social care professionals and community workers as required.



Providing general information individuals in a range of different formats and support to people affected by cancer in a personalised manner to support diverse range of people.



Provide advocacy for patients, helping individuals navigate health and social care, staying well informed, empowering them to make the best choices for their needs.



Support the Urology CNS team with the administration of ongoing patient care including referrals to different hospital, primary care, community and specialist teams



KEY WORKING RELATIONSHIPS

The post holder will build and maintain effective working relationships with:



Patients, families and carers



Cancer clinical teams; Macmillan Information and Support Centre (or similar) and wider clinical / corporate / community network, including MDT coordinators; clinical support services; external statutory / charity / third sector organisations within Greater Manchester.



Trust Lead for Personalised Cancer Care.



Lead Urology Cancer Specialist Nursing team.



COMPETENCIES/RESPONSIBILITIES

The post holder will take accountability for the following:

Facilitate and coordinate HNA/Care Planning for patients with a urological cancer diagnosis following initial assessment/referral by the CNS team/senior leadership team, ensuring any personalised care interventions are appropriately planned, provided and where appropriate escalated to the CNS Team



Complete any follow up work generated by HNA and care planning, e.g. making onward referrals to primary, community and hospital specialist teams.



Triage telephone and email enquiries, initiating an appropriate response according to risk assessment protocols and individual pathways (escalating urgent and referring complex decisions to the nursing/senior team for assessment and review).



Provide support to people affected by cancer through their pathway as appropriate, often dealing with highly emotional and sensitive issues and have an ability to manage individual situations effectively, compassionately and with empathy.



Make pre-planned telephone calls to patients to assess on-going needs and to enable a proactive prevention approach taking into consideration the views of patients and expertise, arranging other methods of assessment should this

be required.



Co-ordinate handover of patients with other teams to facilitate safe, effective, seamless transition of care between services.



Recognising professional boundaries and role limitations, make appropriate decisions to seek help and report concerns to colleagues when an individual's choices place them at risk.



Assist with producing patient Treatment Summaries. For example, keeping records of individuals requiring treatment summaries and sharing with the necessary individuals. Assist with the planning and delivery of Health and Wellbeing events/offer and/or support groups or where appropriate signposting patients to other offerings.



Promote healthy lifestyle choices and signpost people affected by cancer to relevant supportive services.



Take patients' individual values, attitudes and beliefs into consideration whilst providing any care, maintaining an awareness of your own personal views.



Ensuring this information is not shared and that no judgemen are made and that any appropriate actions are taken when own or others' behaviour undermines equality, diversity and human rights.



Communicate effectively with individuals including those who require additional assistance, such as sensory or cognitive impairments, to ensure an effective interface with a practitioner, including the use of accessible information. Meet the needs of different groups and individuals (including those with particular needs such as cognitive impairment or learning disabilities), working with chaperones, where appropriate.



Contribute to the delivery of Personalised Stratified Follow-up (PSFU) linking in with key stakeholders as appropriate, such as primary care colleagues.



Co-ordinate and organise appointments, as needed, including communicating concerns with clinical team where fast tracking/rapid re-entry of individuals back into the system may be required.



Demonstrate the ability to recognise and respond appropriately when faced with a sudden deterioration or emergency, alerting the team or enabling rapid response, following organisational policies and procedures.



Provide general information and support about cancer and cancer services to patients, encouraging self-management where appropriate.



Ensure patients and carers know how to contact the service when conditions or needs change, including out of hours.



Support CNS to coach patients/carers to understand side-effects of treatment and signs and symptoms of cancer progression. Support the delivery of patient and carer training and education.



Ensure timely and accurate documentation is undertaken regarding patient care and other activity on relevant systems used by organisation.



Provide personalised care administrative support to CNS team/line manager as required.



Demonstrate and awareness of the limits of own practice and knowledge and when to seek support/advice



EDUCATION, TRAINING AND AUDIT

The post holder will:

Support the delivery of patient and carer training and education within scope of practice, including assisting CNS to coach patients/carers to understand side effects of treatment and signs and symptoms indicating possible recurrence of cancer.



Support and contribute to audit processes, governance, research, clinical research trials, benchmarking activities and service development, including using findings and recommendations to change practice/systems as appropriate.



Develop, manage and maintain databases to record activity; monitor the processing of this data.



Understand the ethical and legal issues around data collection and

information handling, including confidentiality, consent, data protection and storage



Evaluate outcomes of care delivery with the registered practitioner.



Analyse and interpret information and be able to present it different ways so it can be easily understood at a wide range of levels.



Take responsibility for personal development and education by demonstrating self-directed learning, actively seeking professional development opportunities to enhance practice, knowledge and role progression.



Understand that the role will involve exposure to distressing situations, and individuals must know where to seek appropriate advice and support.



To undertake any other duties deemed appropriate to the role when requested by Senior Staff



The above indicates the main duties of the post which may be reviewed in the light of experience and developments within the service. Any review will be undertaken in conjunction with the post-holder