Senior Clinical Nurse Specialist/Nurse Lead Breast

The Royal Marsden NHS Foundation Trust
£66,718 to £76,271 a year per annum
Closing date
6 Jun 2023

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Band 8B
Contract Type
Full Time
Job summary

We are looking for an outstanding individual to fill the position of Lead Nurse. As Lead Nurse you will have overall responsibility for the direction and development of the breast nurse services at The Royal Marsden.

You will manage a team of Advanced Nurse Practitioners, Lead Clinical Nurse Specialists and be responsible for the strategic development of the diagnostic, family history and open access services. You will be required to provide clinical expertise, advice and clinical skills to ensure that the clinical services are able to run smoothly within the new diagnostics standard. Having the skills to examine, interpret results and organise appropriate investigations will be essential. The open access/patient initiated follow up service is well established at The Royal Marsden and as Lead Nurse you will be responsible for maintaining the relevance of this service. Further development of the ANP roles is expected in line with increasing medical oncology caseload and lengthy treatment pathways.

In addition, you will lead the Lead Clinical Nurse Specialists (CNS) and, with them, will be responsible for ensuring a high standard of patient support and care is maintained, aligned with the RM Standards for Clinical Nurse Specialist services. You will manage the senior CNS's and support them as they manage their teams across our hospital sites. A degree of flexibility is required to ensure an equal Lead Nurse presence on both main sites; Cheslea and Sutton.

Main duties of the job

  • Lead and be responsible for the delivery of effective nursing for a complex group of patients and their families, ensuring compassionate and efficient care and making certain the patient is always central to the service and how it is delivered.
  • Act as part of the senior management team for the Division within the Clinical Business Unit (CBU), working closely with the Service Manager, Clinical Director, Divisional Nurse Director and Divisional Director to deliver the Trust strategy within the Division.
  • Overall responsibility for the daily operational management of the ANPs and CNSs. The post holder will look at developing new and different ways of working in order to improve the patient pathway.
  • Contribute to the relationship management of referring trusts, supporting partnership working with other organisations where appropriate.
  • Act as a professional positive role model, promoting expert clinical practice and shaping the care delivered within the wards and day care areas within Cancer Services within the service.

About us

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 and learning and development opportunities. We are looking for employees who aspire to excellence, share our values and can play a crucial role in our on-going achievements.

Job description

Job responsibilities

For further information please refer to the Job Description and Person Specification

Work with the CNS leads (8a) to ensure the following tasks and responsibilities are consistently met to a high standard across
  • To provide a clear focus for nursing, giving a highly visible and authoritative presence within the units. To be responsible for ensuring the delivery of high-quality care and ensuring that the needs of the patient are placed at the centre of care delivery whatever the setting.
  • To provide strategic direction and ensure the nursing service remains responsive to external pressures and changes as well as forward thinking and
  • To work maintain a clinical case load
  • Ensure ANPs work at an advanced practice level, providing a specialist service and level of expertise in their specialist area ensure their interventions are timely and well documented.
  • To take the lead in ensuring compliance to Trust policies and procedures within the nursing teams.
  • To lead on all governance matters for their area and to escalate any areas of concern to the Trusts Integrated Governance Committee (IGRM). Present any pertinent reports to IGRM.
  • Ensure that there are systems in place that mean the provision of care takes place in a suitable and safe environment for the physical and psychological wellbeing of staff, patients\clients and their relatives. Identify clinical risks across the service and ensure that appropriate action is taken, in accordance with the Trust Risk Management policy
  • Be responsible for the investigation of complaints, incident reports and untoward incidents within the ward areas in line with Trust framework for Clinical Governance and as part of the senior management team for the Division. This will include action plans / root cause analysis, closing the loop and reviewing trends. Ensuring all this is fed back to staff.
  • Be responsible for and ensure all teams are up to date in a variety of key performance indicators (KPI) such as appraisal, information governance and mandatory training.
  • Demonstrate a commitment to advancing nursing\clinical practice in research and implementing evidence-based practice.
  • To be aware of current trends in nursing and in the NHS and be able to translate into practice for example the 6 Cs.

Person Specification



  • First level registration
  • First level degree in a relevant specialty
  • MSc or working towards in relevant subject
  • Relevant formal teaching / mentoring experience
  • Evidence of continued professional development


  • Post Registration qualification in cancer nursing



  • Significant relevant post-registration experience, including experience as a senior CNS or ANP
  • Clinical management experience
  • Experience of managing staff


  • Demonstrable experience in a range of cancer care settings Budget Management / management of resources



  • Clinical Skills e.g. Advanced physical assessment
  • Experience in a specialist nursing role.
  • Evidence of good leadership qualities, including delegation and co-ordination of teams
  • The ability to communicate effectively in both written and spoken English to a wide range of people both internally and externally, often involving highly complex or sensitive information.
  • Presentation skills
  • Ability to innovate and respond to change
  • Ability to interpret and implement new policies into workplace procedures
  • Evidence of commitment to patient & carer involvement in care
  • Knowledge of clinical governance issues and risk management strategies
  • Ability to make decisions, organise & prioritise
  • Experience and ability to manage conflict situations
  • Computer Literacy


  • Experience of disseminating work through presentation\publication

Any attachments will be accessible after you click to apply.


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