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Clinical Nurse Specialist Urology Band 6, ALX

Worcestershire Acute Hospitals NHS Trust
£35,392 to £42,618 a year
Closing date
3 May 2024

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Band 6
Contract Type
Full Time

Job Details

Welcome! Do you enjoy a challenge? We would like to extend an invitation to join our well established Urology CNS team, as a Band 6, if you feel you have the right skills and qualities. To work clinically as a urology nurse specialist providing a range of nurse led clinics, support the service and support the department to develop your knowledge and skills. Identifying and directing patient referrals from the GP and other sources to the most appropriate clinic. To provide a high standard of evidenced based care for patients with urological conditions. To provide teaching and develop clinical expertise across the hospital sites and community teams with a passion for improving quality. We currently are able to offer 2 full time post.

Main duties of the job

Main duties of the job will be developed through training, supervision and competency assessment that will lead towards a Band 7 role if these criteria are met.

Main Duties
  • To liaise with all key members of the multidisciplinary team to advise and support colleagues in the delivery of specialised patient care across professional boundaries. For both benign and cancer urological conditions.
  • To undertake nurse led clinics and to be responsible for excellent standards of nursing care to patients through the planning, co-ordinating, delivering and evaluating nurse-led clinics.
  • To work autonomously to deliver specialist clinical care appropriate to the needs of the patient group and based on principles that are research based and which enhance the quality of patient care.
  • To contribute to the facilitation of the planning, delivery and evaluation of care pathways for a designated group of patients.
  • To contribute to training and education within specialist area.
  • To promote an innovative and progressive attitude to the continual improvement of patient care through reviewing the evidence base and embedding this in practice through engagement in research activities.
  • To act as a visible role model and expert practitioner.
  • To be able to perform diagnostic procedures eg flexible cystoscopies, urodynamics assessment, this is not an exhaustive list

About us

Our purpose is simple - Putting Patients First. We are looking for exceptional colleagues who can help us achieve this.

Worcestershire Acute Hospitals NHS Trust is a large acute and specialised hospital trust that provides a range of local acute services to the residents of Worcestershire and more specialised services to a larger population in Herefordshire and beyond.

The Trust operates hospital-based services from three sites in Kidderminster, Redditch and Worcester

Our workforce is nearly 6,800 strong, and our caring staff are recognised as providing good and outstanding patient-centred care. You could be one of them.

We are committed to recruiting the best people to work with us to achieve our Vision - working in partnership to provide the best healthcare for our communities, leading and supporting our teams to move 4ward. Our 4ward behaviours, which we ask all staff to demonstrate, underpin our everyday work and remain firmly at the heart of all we do.

Our objectives are simple:
  • Best services for local people
  • Best experience of care and best outcomes for our patients
  • Best use of resources
  • Best people

Better never stops, and our Clinical Services Strategy provides a clear future vision for our Trust, our hospitals, our services and our role in the wider health and care system.

We are proud to have achieved Timewise accreditation - this means we are committed to embedding flexible working within our organisation as a flex positive employer.

Job description

Job responsibilities

The CNSs will work alongside Consultant Urologists in supporting patients referred to the Trust with both benign and suspected cancers on different pathways. Through the principles of the Best Practice Prostate Pathway, it is anticipated that urology patients on these pathways will have an improved waiting time to diagnosis with a positive patient experience. The CNS will also work along site Consultants and support the Urology cancer and benign services.

The post holders will work closely with the Consultant Urologists in delivering pathways for benign service and suspected urological cancers. This job description outlines the current main responsibilities of the post. However, the duties of the post may change and develop over time and this job description may, therefore be amended in consultation with the post holder.

The CNS will develop to work effectively as an autonomous practitioner and as a core member of the multi-disciplinary team within Urology to provide the highest possible standards of care for patients with urological disease.

The CNS will work with the support and direction of the head of nursing for surgical specialties, the matron, the Trust lead cancer nurse and the Consultant urologists to improve the care of patients, provide specialist help advice and support to patients and their families. You will act as an advocate by providing information which leads to informing patient choice. You will use the views of patients and carers to inform service improvement.

The post holder will develop and work as an integral member of the Multidisciplinary Team across the Worcestershire Acute Hospitals, collaborating with a range of health care providers. The post holder will provide highly developed specialist nursing, Education, Research and Audit, Leadership and Consultancy and a Professional Role model.


1. Will develop to provide specialist nursing practice intervention so that the specific needs of individual patients / clients are addressed. Provide direct care as per job plan, working alongside the nursing staff in the clinical area- providing a visible and strong role model to ensure best practice

2. Will develop to conduct independent nurse led clinics for a variety of urological conditions that need monitoring/treatment or review post-surgery. Work autonomously within the parameters of their competencies to make decisions and adjustments to patients treatments in line with their needs. Will develop skills that may include, altering medication, requesting imaging and appropriate blood tests as well as referring back to the consultant or other multi-disciplinary members if further advice is needed.

3. To provide advice and support for all members of the multi- professional team in the care of patients undergoing diagnostic pathway with suspected urological cancer. To liaise closely with members of the multi professional team so that patients with confirmed urology cancer experience a seamless, high quality service.

4. To provide continence advice.

5. To provide guidance, support, advice and counselling to patients and their family/ carers along the patients pathway. To know when to refer on to other professionals for more specialist guidance, support, advice and counselling.

6. To promote patients autonomy through education and support so that the individual is able to make informed choices about their own care.

7. To act as the patients advocate when required and liaise with the multidisciplinary team as necessary.

8. To act as a role model of expert clinical practice, empowering others through effective role modelling, teaching, and team working.

9. To develop guidelines and protocols to deliver comprehensive evidence-based service for patients.

10. To recognise opportunities within the urology service for further development and expansion, to facilitate and manage change within defined clinical and organisational boundaries.

11. Working as an integral part of the multidisciplinary team to develop the service and appropriate referrals. To develop effective working relationships with all other departments resulting in effective coordinated care for clients, with all other local, regional and national organisations

12. To be able to work both individually and as part of the multidisciplinary team.

13. To case manage a team of patients in partnership with the multi-professional team.

14. To set, monitor and review standards on a regular basis in accordance with clinical governance essence of care benchmarks and the NHS plan. To liaise with MDT and Matron re: leading on patients satisfaction surveys and present findings at Clinical Governance and other appropriate meetings.

15. Develop skills that enable the CNS to lead on developing integrated care pathways and nursing care pathways in liaison with members of the multidisciplinary team.

16. To develop own nurse led clinics in conjunction with the Consultants and the outpatients department, after consultation with the Matron and key stakeholders.

17. To maintain nurse led and telephone clinics whereby patients are provided with information and support and the problems and needs of patients and their careers are assessed and appropriately channelled and referred to other services as required.

18. In collaboration with patient information services write new patient information and update existing patient information.


1. To identify assess and meet the educational needs of the patients and their family

2. To identify the educational needs of the multi-professional team and to facilitate and participate in education provision to meet those needs. To actively teach the nursing staff in the clinical area and evaluate their learning in conjunction with the senior nursing staff

3. To work collaboratively on educational strategies which support urology cancer services and service development

4. To develop and deliver education programmes on the ward in liaison with the multidisciplinary team/nursing staff.

5. Develop their knowledge, skills and expertise to a higher academic standard.

6. Be regarded as an expert resource working at a higher level in specialist areas.


1. To have a good understanding of the value of quality research to improve patient care

2. To utilise up to date research/evidence to deliver patients care and to disseminate this knowledge to all members of the multi-professional team

3. To incorporate nationally agreed standards and guidelines into clinical practice.

4. To act as a resource for colleagues undertaking research.

5. To be aware of current research trials being conducted within own specialist area and to be able to inform patients about these

6. To audit the service on a regular basis so that patients care is continuously reviewed and improved, ensuring that documentation and record keeping is comprehensively maintained.

7. To contribute to clinical governance developments in line with the strategic direction of the trust

8. To share findings with others through publication and conference presentations.


1. To provide a leadership role model within the clinical setting demonstrating expert knowledge and high standards of clinical practice.

2. To engage with both internal and external groups which will lead to the further development of the nursing service and the Clinical Nurse Specialist role.

3. To monitor and evaluate ones own service implementing new initiatives as appropriate to improve patient care.

4. Contribute to the development of clinical services across the trust, through liaison with the Head of Nursing and other specialties.

5. To work with and alongside local and nation networks.

6. Work closely with other nurses to assist with their own professional development.


1. To act in accordance with the NMC Standards for conduct, performance and ethics for nurses and midwifes and to be accountable for his/her actions at all times.

2. To adhere to the Data Protection Act, maintaining and safeguarding Patients confidentiality at all times and only releasing information to those acting in an official capacity.

3. To have responsibility for the Health, Safety and Welfare of self and others and to comply at all times with the requirements of the health and Safety Regulations.

4. Promote equal opportunities for staff and clients

5. Be aware of and work within the policies and carrying out such duties as may be required that are consistent with the responsibility of the grade.

This job description is not an exhaustive document but reflects the current position. Details and emphasis may change in line with service needs after consultation with the post holder

Person Specification

Skills Abilities Attributes


  • IT literate Organisation and negotiation skills Effective communication Physical Assessment skills Leadership and motivational Ability to work autonomously and as part of a team Flexible attitude to working Exemplar communication skills Ability to conduct own projects and successfully and follow them through


  • Teaching/assessment and presentation skills Basic psychology training



  • Registered Nurse Educated to degree level First level nursing registration Post registration qualification appropriate to specialty First level degree in related subject or evidence of working towards Evidence of continued professional development Recognised teaching qualification


  • Post qualification Urological courses Advanced communication Course Working towards Masters level qualification Leadership course, or working towards IrMer training interested in developing skills to independently perform diagnostic procedures eg cystoscopies, urodynamics nor exhaustive list



  • At least 12 months working in Urology setting. Ability to develop new ways of working Experience of multi-professional working


  • Previous experience of working a clinical nurse specialist Urology Nursing qualification. Experience of endoscopy working, understanding of audit, research. An understanding of working autonomously.

Personal Qualities


  • Diplomatic Calm and objective Assertive, confident, yet approachable Personally, and professionally mature Recognition of own limitations Demonstrates enthusiasm

Employer details

Employer name

Worcestershire Acute Hospitals NHS Trust


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