Non Site Specific Cancer Clinical Nurse Specialist inSwindon inSwindon PUBLISHED 1 DEC 2023

1. Working autonomously taking responsibility for a defined caseload of patients, which includes seeing/contacting patients who have only a radiological diagnosis of a tumour, thus ensuring this group of patients have a point of contact.
2. Working autonomously with the MDT to see/ contact patients who have had investigations but where there has been no evidence of a tumour, thus supporting this group of patients.
3. Triaging and assesses potentially highly complex patients, planning, implementing and reviewing care within the hospital environment, both in-patient and out-patient, community or other settings.
4. Promotes early discharge from hospital as appropriate.
5. Liaise or attend the relevant Cancer Multidisciplinary Teams (MDTs); to discuss the necessary investigations and support the patient pathway.
6. Work with the MDT coordinators and the NSS Navigator to ensure that Cancer Wait Targets remain a focus and a high priority across the Multidisciplinary Teams.
7. Use clinical-reasoning skills to undertake an in-depth assessment of the presenting problem. Interpret findings, develop working and differential diagnoses and formulate, communicate, implement and evaluate management plans.
8. Deliver personalised care for NSS cancer patients, focusing on holistic needs assessments, and health and wellbeing. Build up an understanding of the local and national services that support rarer cancer patients and signpost patients to these services.
9. Liaise with the clinical nurse specialists to ensure that seamless handover of patients to tumour specific teams. Ensure that the patient and their carers are supported through this process.
10. Liaise with the appropriate teams to ensure relevant tests/scans are arranged. Recognise and liaise with clinical teams when tests are not needed.
11. Use advanced communication skills to facilitate discussions of complex, sensitive and emotional issues around cancer diagnosis, disease management, recurrence/progressive disease and prognosis.
12. Provide in a sensitive, empathic manner evidence-based accessible specialist advice and support, to patients, visitors, staff, and members of the public. This may include imparting highly distressing news.
13. Recognises own limitations and discusses cases with CNS/ Team Leader as appropriate.
14. Provide specialist support for families and other members of the patients support system. Use advanced communication skills to support these people in line with the patients needs and wishes and effectively signpost for specialist support.
15. Prioritise workload and maintain focus to meet competing and conflicting demands in a wide variety of clinical settings across the organization.
16. Utilise and ensure others utilise IT systems to secure accurate and timely patient, workforce and resource data is available.

Please see attached job description for further details.

Fixed Term (12 months)

Working as part of the Multi-Disciplinary Team (MDT) the Non-Site Specific (NSS) Oncology Specialist Nurse will work as an autonomous, professional clinical practitioner. They will be responsible for providing specialist clinical services with the support of the Band 7 CNS Acute Oncology Service (AOS) to patients referred on the NSS pathway as well as working within the AOS team.

The Non-Site-Specific Oncology Specialist Nurse will promote clinical excellence and provide specialised advice and support to patients who are referred into Great Western Hospital (GWH) with highly suspicious symptoms for a cancer and their carers throughout the treatment pathway. This must be in line with national trends and strategies, ensuring specialist practice is patient centred and evidence based.

1. Demonstrates exemplary nursing practice and the implementation of evidence-based care, the provision of a high standard of individualised patient care and experience, upholding the Trust Nursing Strategy which includes the 6Cs
2. Participate in and potentially lead meetings and committees both inside and outside of the Trust; produce timely, accurate and concise reports and paper
3. To assist in the local, regional and national development of the area of speciality, expressing and suggesting views as an innovator and expert practitioner.
4. Responsible for ensuring own knowledge of and compliance with appropriate NMC standards and revalidation and Trust professional guidelines and that these are applied to practice.
5. Ensure accurate and contemporaneous patient, staff and other records are maintained, submitted and stored meeting NMC requirements.
6. Involvement in the implementation of the NHS Long-Term Plan, and relevant national, regional and local cancer guidance and strategies.
7. Recognise ethical and legal issues which have implications for nursing practice and takes appropriate action.