This job has expired

Macmillan Breast Cancer Clinical Nurse Specialist

Chelsea and Westminster Hospital NHS Foundation Trust
£49,178 to £55,492 a year incl. HCAS
Closing date
29 Sep 2023

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Nurse, Adult nurse, Cancer nurse
Band 7
Contract Type
Full Time
Macmillan Breast Cancer Clinical Nurse Specialist, Band 7

West Middlesex University hospital

An exciting opportunity has arisen to join our growing Breast Cancer Specialist nursing team. The successful candidate will work with a committed and enthusiastic team to deliver high quality, patient centred care to Breast Cancer patients.

The successful candidate will work alongside our two other Breast Cancer CNS's to ensure all aspects of the service are covered.The post holder is expected to develop this role in accordance with the framework for Nurses in Specialist Practice as identified by Hamric, Spross & Hanson and the Trust's Competency Framework for Specialist and Advanced Practice Roles

You will find the person specification document which provides more detail about the essential and desirable skills and experience needed for this role. We highly recommend you review this document and use it when completing your application as these criteria are used by hiring managers as guidance during shortlisting.

For an overview of the main duties of the role please see the 'Job Description and Main Responsibilities' section below. To understand the day-to-day responsibilities in more detail please read the full job description document attached.

Main duties of the job

The clinical nurse specialist functions within a field of practice that focuses on the needs of the patient and encompasses interaction with others in delivering nursing, health and social care.

The CNS promotes excellence in nursing practice through the integration of expert clinical practice, education, consultancy, acting as a resource and commitment to nursing research.

The post holder will play an on-going role in the development of the service for patients with Breast cancer. This will include developing protocols setting up and running a nurse led clinics for follow up care which will include advanced assessment skills. The post holder will be the key professional involved in supporting and counselling a caseload of patients and their families through the entire cancer journey and specifically around the time of the cancer diagnosis and surgery and following cancer specific treatments. The post holder will also participate in the education of all disciplines of staff working with this patient group and act as an expert resource to other professionals involved in the care of these patients. The post holder will work to ensure that cancer specific guidelines are adhered to and Department of Health standards are maintained

The post holder is expected to develop this role in accordance with the framework for Nurses in Specialist Practice as identified by Hamric, Spross & Hanson and the Trust's Competency Framework for Specialist and Advanced Practice Roles

About us

Chelsea and Westminster Hospital NHS Foundation Trust provide services from two main hospitals,Chelsea and Westminster Hospital and West Middlesex University Hospital, and a number of clinics across London and the South-East.

We have nearly 7,000 members of staff that are PROUD to Care for nearly one million people.Both hospitals provide full clinical services, including full maternity, emergency and children's,in addition to a range of community-based services across London, such as award-winning sexual health and HIV clinics.

We're one of the best performing Trusts in the country. We're also one of the top trusts to work for -our staff says they're engaged, motivated, and would recommend us as a place to work and receive treatment.

Our Trust has been rated by the Care Quality Commission as 'Good' in all five of the main domains of safe,effective, caring, responsive and well-led, giving an us overall rating of 'Good'. We've also been awarded an'Outstanding' rating for 'use of resources' by an NHS Improvement inspection.

Our facilities are some of the best in the country. We have been investing significant Capital year on year in our estate. We have recently completed a �30m expansion of our adult and neonatal critical care facilities at Chelsea and Westminsterand are planning an ambitious �60m development of an Ambulatory Diagnostics Centre at West Middlesex.

Job description

Job responsibilities

Expert clinical practice/leadership
  • To provide expert nursing advice to patients with Breast malignancies and their families throughout the course of their illness from diagnosis, assessing their needs and providing information as required.
  • To demonstrate specialist skills and knowledge through expert nursing practice.
  • To liaise with all relevant members of the multidisciplinary team in the care and support of individual patients including GPs.
  • To maintain a high profile in the clinical area, acting as a role model for other health care professionals
  • To facilitate individualised patient care based upon the principles of evidence based practice.
  • To act as a liaison nurse between inpatient, outpatient and home care, referring on to community support agencies when required.
  • To hold a nurse led clinic including the development of written protocols based on national standards, following up all Breast cancer patients, arranging relevant tests, reviewing results, diagnosing, prescribing appropriate medication and referring back to a medical team as appropriate.
  • Supporting patients with body image and sexuality concerns in relation to surgery, utilising other agencies and specialists as appropriate.
  • To offer advice and support on pain and symptom control liaising with the Specialist palliative care team, and make appropriate referrals to the chronic pain service.
  • To assess individual patients psychosocial and spiritual needs and refer for appropriate counselling or to other agencies.
  • To work in close collaboration with colleagues in the Surgical Directorate.
  • To work in close collaboration with the cancer and palliative care team.
  • To counsel the family of patients with Breast cancer, referring to the appropriate genetic service as required.
  • To provide professional clinical leadership and expertise to other nursing staff.
  • To help co-ordinate the weekly multi-professional meetings for Breast cancer patients to achieve high standards of MDT working and assist with the compliance and evidence for cancer peer review.
  • To provide expert nursing advice to primary care teams on managing patients with Breast malignancies.
  • Responsible for implementing the recovery package for Breast patients including completing of HNAs assisting with health and well-being events and treatment summaries where appropriate.

  • Education / Leadership
  • To promote patient/carer independence through the provision of relevant teaching and support.
  • To participate in and organise study days/education programmes to raise awareness of the holistic needs of patients.
  • To develop resource and teaching packs for use by patients and/or staff in the clinical and educational setting.
  • To ensure the provision of appropriate written information is available to patients and staff.
  • To participate in the Trusts on-going educational programmes.
  • To evaluate the need for patient support groups within the Trust.
  • Liaise with other charities, organisations and agencies dedicated to Breast cancer ensuring patients, their families and carers are informed of the availability of existing support services.

  • Research/Audit/Quality
  • To utilise up-to-date research findings in the delivery of patient care and to disseminate this knowledge to all members of the multidisciplinary team.
  • To participate as appropriate in relevant research studies and audit findings and disseminate these findings to clinical practice as appropriate in order to develop best practice.
  • To identify opportunities for nursing research within own specialist area and carry out nursing research appropriate to the speciality.
  • To regularly audit service including eliciting the views of patients, carers and professionals ensuring patient feedback is incorporated into developments in the service.
  • To attend relevant departmental and Directorate and network meetings relating to clinical governance and to contribute to the clinical governance agenda.

  • Management
  • To liaise with other members of the team to ensure that there is an efficient use of resources, human, financial and time.
  • To ensure that there is a safe and acceptable environment for clients/patient.
  • To act as a patient/staff advocate through the application of ethical, legal and professional knowledge and skills.

  • Personal development
  • To maintain own expert level of competence.
  • To participate in Annual review with the Clinical Nurse Lead
  • To critically reflect on own performance through clinical supervision, coaching or mentoring.
  • To work within the NMC Code of Professional Conduct and all Trust Guidelines.
  • To continue own personal development through the pursuit of relevant professional and academic study.
  • Participate in Annual job planning
  • Prepare for NMC revalidation

  • Collaboration/Consultancy
  • To work in a collaborative manner with all members of the multidisciplinary team recognising the unique contribution of other disciplines and appropriately referring.
  • To recognise own limitations and seek advice and support on referrals.
  • To act as a resource within the Trust and to participate in Trust-wide professional groups as appropriate.
  • To represent the Trust locally and nationally, participating in and speaking at conferences.
  • To work in a collaborative manner with local primary care teams.
  • To act as a resource to primary care teams, attending meetings organised by the PCT as appropriate.
  • To provide specialist advice and support related to the purchasing and commissioning of resources/services.
  • To act in an advisory/ collaborative role with senior management in issues relation to the specialty.
  • To act as a specialist resource for the management of patients.

  • Communication
    • Ensure all communication, which may be complex, contentious or sensitive, is undertaken in a responsive and inclusive manner, focusing on improvement and ways to move forward.
    • Ensure all communication is presented appropriately to the different recipients, according to levels of understanding, type of communication being imparted and possible barriers such as language, culture, understanding or physical or mental health conditions.


    This job description may be subject to change according to the varying needs of the service. Such changes will be made after discussion between the post holder and his/her manager.


    Person Specification

    Education and Qualification


    • Registered Nurse Qualification.
    • Degree level education.
    • Post registration education in relevant speciality.
    • Teaching qualification


    • Master's degree
    • Advanced communication skills course or equivalent
    • Advanced assessment skills



    • Experience of working with patients with Breast cancers
    • Multidisciplinary Team working.
    • Autonomous working and experience in developing working relationships and networks.
    • Experience of working with electronic patient records and other IT systems.
    • Audit


    • Work at band 7 level
    • Experience of Breast surgery.
    • Experience of running Nurse led clinics
    • Experience of Living With and Beyond cancer metrics

    Skills and Knowledge


    • Ability to demonstrate initiative
    • Excellent communication skills.
    • IT literate
    • Ability to plan and prioritise own and others workload
    • An understanding of NHS, Cancer Strategy and Trust performance targets
    • Evidence of ability to work collaboratively in a multi-disciplinary team.


    • Knowledge/Experience of clinical supervision.
    • Knowledge of change management theory.
    • Any attachments will be accessible after you click to apply.


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