Clinical Nurse Specialist

Looking for a challenging but rewarding field with the Macmillan Nursing Team? Our Upper GI Macmillan Nurses have a Band 7 vacancy, providing care for those patients with suspected or confirmed hepatobiliary and pancreatic cancers. We are a small team who are passionate about standards of care. We will offer you support and training for this role. You will also be able to access additional courses through Macmillan Main duties of the job As the Macmillan HPB Clinical Nurse Specialist, you will provide expert nursing care, support and advice to patients with suspected or confirmed hepatobiliary and pancreatic cancers, and their families. You will be the main point of contact for patients and carers, ensuring they have access to expert information, advice and support from the point of suspicion of cancer. You will be a core member of the Upper GI Cancer Multidisciplinary Team, overseeing complex patient pathways across primary, secondary and tertiary care. You will support patients and carers from diagnosis through treatment and / or ongoing care, ensuring continuity and a holistic approach. You will be responsible for implementing the key elements of personalised care, ensuring patients are offered a HNA/care planning at keys stages of the pathway in line with national directives and support the delivery of End of Treatment Summaries after each episode of treatment. You will work as part of the Upper GI CNS team providing cover to ensure continuity of care across the Macmillan Upper GI CNS service. About us Please submit your application as soon as possible as we reserve the right to close adverts once we have received sufficient applications Northampton General Hospital NHS Trust is on an exciting journey with all of our divisions committed to doing things better, with more efficiency as we update, modernise, and advance. We have also entered a Group Model with neighbouring Kettering General Hospital NHS Foundation Trust and become University Hospitals of Northamptonshire (UHN). As part of this collaborative approach, there may be a requirement for you to work across both the Kettering and Northampton hospital sites, depending on the needs of the service. Our Excellence Values Compassion Accountability Respect Integrity Courage We want to recruit the best people to deliver our services across UHN and help to unleash everyone's full potential. UHN encourages applications from people who identify from all protected groups. We understand that we need to work with colleagues from diverse backgrounds and make sure the environment they work in is inclusive and collaborative. We recognise the valuable contribution that the Armed Forces community make to our organisation. We have signed the Armed Forces Covenant and achieved Silver Award under the Armed Forces Employer Recognition Scheme. We have active Networks that promote and support colleagues from all backgrounds. This ensures everyone feels supported and has a sense of belonging working for UHN. Job responsibilities To provide specialist support for patients and their families, ensuring their physical, psychological, social, emotional and spiritual needs are identified and met. To act as a role model as a Clinical Nurse Specialist, demonstrating high standards of holistic care and providing evidence based clinical leadership within the speciality. To lead on complex communication issues and co-ordinate the patients pathway ensuring all patients have a named point of contact within the Upper GI nursing team. Demonstrate exceptional communication skills when discussing diagnosis and prognosis with patients and be confident when dealing with difficult or challenging situations. To demonstrate advanced practice in planning, implementing and evaluating nursing care, documenting the outcomes of consultations in the hospital notes and /or on the Somerset database. Ensure patients are well informed at all stages of the pathway. To attend the weekly cancer multidisciplinary team meeting, contributing to the discussion, providing expert nursing opinion and advocating for the patients. To contribute to collaborative working relationships and effective communication between all members of the Upper GI cancer multidisciplinary team and other healthcare professionals. Develop an in-depth knowledge of the local and regional pathways for patients with HPB cancer, including knowledge of key contact points for referral and advice. Demonstrate an ability to work across organisational and professional boundaries. To implement all elements of personalised care and support across the HPB cancer pathway; to include comprehensive holistic assessment of patients needs (HNA) at key stages and agreeing plans of care in consultation with the patient/family, ensuring a written copy is available for the patient. Support the generation of an End of Treatment Summary for patients following each modality of treatment, ensuring their ongoing needs are identified and addressed. To demonstrate an awareness of any clinical trials available for HPB cancer patients. To screen patients for psychological distress and provide Level 2 psychological support for patients and their carers. Signpost them as needed to additional sources of support. Refer patients with complex psychological needs to the Macmillan Clinical Psychologist. To identify and meet patient/carers specialist information needs utilising the local Macmillan Information Centre. To support the development of patient focused education, including personalised support and advice to enable them to cope with the ongoing consequences of their diagnosis. Refer patients to the dedicated Cancer You Tube Channel to access self-management strategies, if appropriate. To lead the development of specialist Health & Wellbeing events for patients living with HPB cancer, ensuring they are tailored to meet individual needs. To identify and address the palliative care needs of patients and their families, referring patients with complex needs to the Specialist Palliative Care Team To use advance communication skills to support patients in the development of an Advance Care Plan at the appropriate point of their journey to identify their preferences and wishes, supporting them to communicate this information to key people and ensuring they have the opportunity to discuss all aspects of their care. To oversee proactive telephone support for patients in the palliative stage of their disease, supporting team members to identify new or progressive symptoms and provide specialist advice and support when said issues are escalated. To review inpatients admitted with complications related to their disease/treatment, influencing management options and liaising with professionals across primary and secondary care to ensure safe effective discharge from hospital. To identify AMBER patients and work with the multidisciplinary team to agree ceiling of intervention, ensuring patients and carers are part of this process, as appropriate. To be actively involved in the self-assessment of the service against National Quality Standards related to UGI HPB cancer, taking an active part in the NHS England Quality Surveillance Program. To ensure the specialist nursing service is developed in line with National Directives related to cancer care. This may include contributions to policies and clinical guidelines. To initiate and be actively involved in service evaluation and audit. This will include the gathering of feedback from patient surveys and regular overview of service activity data. This will underpin decisions to drive innovation and implement change in order to enhance patient experience. To participate in service reviews as required, completing a SWAT analysis to highlight the effectiveness/challenges of the nurse specialist service. Contribute to decisions about solutions to any issues identified, including the identification of areas of practice that need developing to promote optimal care and the best outcomes for patients. To contribute to decisions regarding regional service delivery through participation in local, regional and national meetings. To support the development of all members of the team, contributing to the appraisal process and objective setting, where appropriate. To engage in the formal annual appraisal process and plan future professional development and competencies to be achieved in order to work in a specialist role. Take appropriate action to ensure that these are met. Actively engage with the learning and development opportunities offered by Macmillan. To adhere to the NMC Code of Professional Conduct and other national regulations. To maintain a personal professional profile, demonstrating clear evidence for nursing revalidation Person Specification Educations, Training and Qualifications Relevant Master's Degree or equivalent level of education, training or experience. Fundamentals of Cancer Care module post graduate level or equivalent level of education or training Trained to provide Level 2 Psychological Support Advanced communication skills training or equivalent level of education or training Rosalind Franklin Leadership program or equivalent level of education or training Registered independent nurse prescriber or willingness to undertake Knowledge and Experience In-depth knowledge and experience in caring for patients living with Upper GI/HPB cancer In-depth knowledge and experience in implementing the core domains of personalised care Experience of multi-professional working Leadership & Management Knowledge of the National Frameworks related to cancer care Experience of leading research/audit Understanding of Macmillan Cancer Support and its role across the UK Previous experience of working as a Clinical Nurse Specialist Skills Advanced Assessment Skills Ability to work autonomously & as part of a multidisciplinary team Effective organisation and time management skills Ability to exercise initiative & implement change Effective negotiation and interpersonal skills Analytical and IT skills Ability to develop policies, protocols & guidelines Effective report writing skills Key Competencies/Personal Qualities and Attributes Passionate and committed to bring our Dedicated to Excellence values to life, improving the way we work with each other, particularly focusing on empowerment, equality diversity and inclusion of our staff, patients and service users Diplomatic, calm & objective Assertive and confident, yet approachable Innovative, flexible, enthusiastic & motivated Disclosure and Barring Service Check This post is subject to the Rehabilitation of Offenders Act (Exceptions Order) 1975 and as such it will be necessary for a submission for Disclosure to be made to the Disclosure and Barring Service (formerly known as CRB) to check for any previous criminal convictions. Macmillan Upper GI Clinical Nurse Specialis £47,810 to £54,710 a yearPer Annum / Pro Rata #J-18808-Ljbffr