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Critical Care Outreach Nurse (Band 7)

The Royal Marsden NHS Foundation Trust
£49,178 to £55,492 per annum incl. HCAS
Closing date
2 Mar 2024

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Nurse, Adult nurse, ICU nurse
Band 7
Full Time
An exciting opportunity has arisen within our proactive Critical Care Outreach Team for a 12months fixed term contract. We are seeking an enthusiastic experienced and highly motivated critical care nurse who will work with the team to support us in the delivery of a high-quality 24-hour service across both Chelsea and Sutton sites. You will work collaboratively to provide acute oncology care to at risk or deteriorating cancer patients. You will be expected to work with ward and critical care clinicians and demonstrate excellent clinical skills and evidenced based decision making. You will carry out advanced assessment and care of deteriorating patients leading to early intervention and treatment. Excellent communication skills and the ability to work autonomously is essential. You will be part of the Resuscitation team/Hospital @ Night and would be required as an ALS provider to lead rescue interventions and facilitate transfers to and from critical care. You will work a mixture of days and nights as well as weekends within the team.

Formal and informal education is an integral part of this role and you will take an active part in education and training for junior staff around the management of deteriorating patients, induction programmes, and acute illness management courses.

Main duties of the job

To be an active member of the Critical Care Outreach Team assessing and treating the acutely deteriorating patient, or to initiate treatments to prevent a patient from deteriorating and requiring admission to the Critical Care Unit (CCU).

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, learning and development opportunities and clear career pathways. There are opportunities to work flexibly across a range of areas and specialities and we welcome flexible working requests from point of hire to support employees work life balance. 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 on this role, please see the attached detailed Job Description and Person Specification.
  • To provide a 24 hour Critical Care Outreach service across the Chelsea and Sutton site.
  • To be an active member of the hospital at night (H@N) team.
  • To identify patients who are acutely deteriorating and are for active treatment.
  • To work in collaboration with the Critical Care Unit team (CCU) , Medical/Surgical teams and the Clinical Site Practitioner (CSP) to assess and treat the acutely deteriorating patient.
  • To follow up all patients discharged from CCU/Step-up to ensure patients do not deteriorate clinically on step down from the unit.
  • To be an active member of the hospital resuscitation team.
  • To provide support and education for nursing and medical staff in relation to the acutely deteriorating patient.
  • To safely escort patients on intra/inter hospital transfers when required.

Person Specification

Education / Qualifications


  • First Level registration with experience in a critical/acute care environment
  • Bachelor's degree or studying at degree level supplemented by specialist training/experience or working towards
  • Teaching/Mentoring qualification and/or experience
  • Recognised acute care Qualification (e.g Critical Care Course)
  • ALS provider Certificate
  • ILS provider Certificate
  • Venepuncture/Cannulation
  • Critical care course or similar acute care course


  • Non -Medical prescriber
  • Cancer nursing qualification



  • Relevant experience working in an acute setting and managing a critically ill patient (e.g CCU, A& E, previous CCOT experience )
  • Evidence of good leadership and interpersonal skills
  • Ability to work autonomously
  • Ability to influence, support and develop staff
  • Ability to co -ordinate patient care and liaise with multi -disciplinary team members
  • Ability to work collaboratively with CCOT and CCU leads
  • Evidence of managerial experience
  • Ability to innovate and respond to change
  • Ability to problem solve, make decisions, organise and prioritise
  • Ability to manage conflict situations
  • Evidence of commitment to customer care initiatives and incorporation of cultural values into practice
  • Knowledge of quality issues
  • Understanding of research and its implications on practice development
  • More than 2 years experience in Band 6 post


  • Previous experience as Critical Care Outreach Nurse

Skills / Abilities /Knowledge


  • Ability to use advanced communication/interpersonal skills when working with staff, patients and carers
  • Good presentation and teaching skills
  • Ability to provide clear and concise documentation
  • Ability to manage databases, maintain records with integral auditing and to produce annual reports for the service
  • Ability to work under pressure in order to meet service and patient priories
  • Ability to work within and manage professional boundaries
  • Computer literate in Microsoft outlook, office, word, excel and PowerPoint

Employer details

Employer name

The Royal Marsden NHS Foundation Trust


The Royal Marsden Hospital Sutton



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