Macmillan Breast Cancer Clinical Nurse Specialist

Lewisham and Greenwich NHS Trust
£43,742 to £50,056 a year per annum pro rata plus HCAS
Closing date
11 Jun 2023

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Nurse, Adult nurse, Cancer nurse
Band 7
Part Time
An exciting opportunity has arisen for a part-time Clinical Nurse Specialist to support patients with suspected and confirmed breast cancer at Queen Elizabeth Hospital, part of Lewisham & Greenwich NHS Trust. Interested nurses are strongly encouraged to discuss this opportunity with Jenny Dobrzynski, Lead Breast Cancer CNS, in advance of applying.

This is a 12 month fixed term position suitable for someone committed to the care of cancer patients with experience at Clinical Nurse Specialist (CNS) level or ambitious to achieve this role. Successful candidates must be willing to provide a high quality, evidence-based service to patients with suspected and diagnosed breast cancer. The successful candidate will join a well-established multidisciplinary team (MDT) and contribute to the development of the cancer service through establishment of nurse-led clinics and implementation of the Recovery Package as part of the wider Trust Living With and Beyond Cancer agenda.

Main duties of the job

To apply candidates should have experience in breast nursing, including surgical, or knowledge of cancer treatments and preferably experience of palliative care. The successful candidate will provide advice, information and support to patients on the breast cancer pathway as well as facilitate high quality care to ensure patients diagnosed with cancer have a positive experience of services at LGT. The ability to work in partnership with all members of the multi-disciplinary team is essential. We require someone who can work both autonomously and as part of a team.

About us

Lewisham and Greenwich NHS Trust is a cancer unit. The post holder will be the key worker for patients diagnosed at Queen Elizabeth Hospital and will be expected to work closely with colleagues at the cancer centre to transfer patient care to the centre where required.

The post holder will be supported patients diagnosed with primary as well as metastatic breast cancer.

Job description

Job responsibilities

Post Title: Breast Cancer Clinical Nurse Specialist

Division: Allied Clinical Services (ACS)

Banding: 7

Responsible to: Lead Breast Cancer Nurse

Accountable to: Macmillan Head of Nursing for Cancer and Haematology

Hours: 18.75

Job Summary:

In line with the Trusts Annual Business Plan you will provide a high quality advanced expert nursing practice and cost-effective service to patients requiring routine and emergency care, from outpatients, pre-admission through to discharge and review at home.

The Division aims to provide an environment conducive to the on-going development of all staff and advancements in the quality of the service by ensuring provision of a high standard of training, teaching and clinical care within the acute/community setting.

To provide clinical support carrying out independently or assisting with interventional/investigational procedures in which full training has been undertaken based on clinical practice standards.

The Clinical Nurse Specialist will be an advanced and experienced practitioner within their speciality.

The role of Clinical Nurse Specialist requires a high degree of personal professional autonomy and making clinical judgements. Taking sole and joint responsibility for the patient and procedure during diagnostic and therapeutic interventional procedures to ensure a successful patient based outcome within the acute setting, which will require assessment, planning and implementation of treatment.

To give advice and guidance both to Consultants and other speciality professionals on interventional procedures and clinical practice.

To be responsible for the nursing leadership within the specialty and giving support and guidance within the multidisciplinary team, contributing to the high quality care given to patients, in accordance with clinical governance. The postholder will ensure delivery and expansion of an expert and advanced nurse-led service through effective interdisciplinary care, utilising clinical and managerial expertise, which will include a review of the effectiveness of treatment.

Key Result Areas & Performance:

All the following are to be carried out while working in close collaboration with members of the multi-disciplinary team led by a Consultant. To demonstrate clinical expertise within the speciality and work autonomously, managing own allocated clinics independently and seeking guidance/support when necessary.
  • To co-ordinate the specialty care within the Trust, including outreach clinics within the region.
  • To become an essential member, and point of contact and resource for the multi-disciplinary team and patients and carers.
  • Carries out diagnostic/therapeutic interventions as an independent practitioner, interprets, writes reports and commences further possible treatment on the basis of the findings.
  • Carries out complex therapeutic/investigational procedures under indirect supervision of the Consultant. Ensuring that they are carried out using safe practice and under agreed guidelines/protocols to ensure that the highest possible standard is obtained based on competent clinical practice.
  • To demonstrate the ability to develop new skills, to provide an expert high quality, nurse-led service.
  • To provide ongoing follow-up care and support (home visits / telephone support / nurse/midwife led clinics / outpatient clinics and outreach clinics)
  • To develop the service in a structured interdisciplinary way, initiating on-going change and progression in the expanding role of a Clinical Nurse Specialist/Specialist Midwife.
  • To develop interdisciplinary clinical management protocols and work within them.
  • Autonomously or in collaboration with the multidisciplinary team, manage the care of patients carrying out relevant interventions, within agreed clinical protocols and in line with current practice/trends.
  • To offer a supportive service to patients and their carers, disseminating specialist knowledge enabling individuals to try and adapt to any changes to their body image and life experiences. Liaising with other healthcare professionals when necessary.
  • To provide, promote and maintain a support and advice service to patients and their carers, to include provision of information giving from diagnosis through to all stages of the disease process, in liaison with relevant healthcare professionals.
  • To maintain accurate and legible records of all clinical and legal documentation with regard to Statutory and Trust policies.
  • To assess, develop, implement and evaluate programmes of care within the acute and community setting
  • To control patient admission via direct referral and with consultant guidance and supervision.
  • Be aware of, understand, and act upon the Divisional Business Plan, with particular reference to nursing care, in order to participate in the re-formulation of nursing aspects of the plan.
  • When required, investigate the nursing aspects of incidents/complaints and initiate corrective action.

  • To line manage, a cohort of staff ensuring HR processes are followed.
  • To provide advanced specialist knowledge and education, acting as a clinical resource to the Trust, CCG and Trust affiliated Universities.
  • In conjunction with Ward Managers and Heads of Departments and the CCG assess learning needs and organise training and teaching programmes to fulfil the areas and individuals learning requirements within the specialty.
  • Take part in the selection, orientation and development of relevant staff and students within the service.
  • Promote staff confidence and competence and therefore assist job satisfaction and staff recruitment and retention.
  • Identify the requirements to carry out the specialist role, implement and manage the service, developing the role in line with patient and service needs.

Person Specification

Qualifications and Training


  • oMSc level learning
  • oRN / RM - Part 1
  • oRelevant specialist course or similar - Breast or cancer or oncology
  • oIn-depth knowledge of anatomy related to breast cancers
  • oKnowledge of conditions, management and treatment of breast cancers


  • oKnowledge of quality standards in cancer
  • oCounselling course



  • oSenior clinical experience within their speciality
  • oExperience in Practice Guideline Development and audit
  • oEvidence of clinical leadership qualities


  • oCaseload management



  • Excellent verbal, written and interpersonal communication skills
  • Counselling skills


  • Change management

Personal qualities


  • Maturity and self-awareness
  • Sensitivity based on knowledge
  • Evidence of clinical leadership qualities
  • Committed to collaborative working

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.

Certificate of Sponsorship

Applications from job seekers who require current Skilled worker sponsorship to work in the UK are welcome and will be considered alongside all other applications. For further information visit the UK Visas and Immigration website (Opens in a new tab) .

From 6 April 2017, skilled worker applicants, applying for entry clearance into the UK, have had to present a criminal record certificate from each country they have resided continuously or cumulatively for 12 months or more in the past 10 years. Adult dependants (over 18 years old) are also subject to this requirement. Guidance can be found here Criminal records checks for overseas applicants (Opens in a new tab) .

UK Registration

Applicants must have current UK professional registration. For further information please see NHS Careers website (opens in a new window).

Employer details

Employer name

Lewisham and Greenwich NHS Trust


Queen Elizabeth Hospital

Stadium Road


SE18 4QH

Any attachments will be accessible after you click to apply.


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