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Clinical Nurse Specialist - HPB

Royal Surrey NHS Foundation Trust
£45,753 to £52,067 per annum inc. High Cost Area Supplement
Closing date
26 Apr 2024

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Band 7
Full Time
An exciting opportunity has become available to join the Hepato-Pancreatico-Biliary (HPB)Clinical Nurse Specialist surgical Team at the Royal Surrey during a period of secondment. The Royal Surrey has a thriving HPB and supportive unit delivering innovative surgical, diagnostic and complex interventions for the Region.

The post would be ideal for someone with experience as a Clinical Nurse Specialist, particularly with HPB and tertiary care delivery. The post will be centred around the management of HPB cancers, in particular pancreatic cancer, but form part of the existing HPB nursing team dealing with a wide range of patients, supporting them through their pre and post operative pathway in both. Proven organisation & communication skills along with a track record of working closely with multiple hospitals and members of the multidisciplinary team are essential.

The current team will provide support and training

Main duties of the job

To work as part of the Hepato-Pancreatico-Biliary (HPB) team in order to deliver evidenced based care, advice and support to HPB patients, their families and carers.To ensure a smooth and complete patient pathway from new appointments, to follow up and discharge or onward referral as appropriate whilst working with the wider multi-disciplinary team.To provide support, information and advocacy for patients with cancers of the HPB and their families, during diagnosis and treatment, both curative and palliative.To work as part of a multi-professional HPB teamTo provide continuity of care to patients with cancers of the HPB treated in the Cancer Unit in the Royal Surrey County Hospital NHS Trust.To act as a resource to staff on the treatment and care of patient with HPB cancers providing expert and up to date knowledge and developing educational initiatives as appropriate.To work with the multi-professional team both in the Trust and in Primary Care to develop services to meet the needs of patients with HPB

About us

Royal Surrey is a compassionate and collaborative acute and community Trust. Recognising that our 5000 colleagues are our greatest strength, we offer a comprehensive health and wellbeing program along with a commitment to developing and advancing your career. Our diverse and welcoming Royal Surrey family will ensure you that you feel valued from your initial interview through your entire tenure.

We are clinically led and provide joined up care by bridging the gap between hospital and community services alongside regional specialist cancer care. Our main acute hospital site is in Guildford with community hospital sites at Milford, Haslemere and Cranleigh. We provide adult community health services in homes across Guildford and Waverley.

We have received an overall Good rating from the CQC with Medical care (including older peoples care), End of Life Care and Maternity services being deemed Outstanding by the CQC.

Royal Surrey has a strong reputation and history to build on. We are proud of our achievements and we are investing in our colleagues through our commitment to supporting professional development as well as investing more than �45 million in our physical environment and new equipment in the next few years. There has never been a better time to join us.

Although it isn't the Trusts normal practice, adverts may close early, so you are encouraged to submit an application as soon as possible.

A video about the Royal Surrey -

Job description

Job responsibilities

  • Attend endoscopy and appropriate surgical and oncological outpatient clinics to facilitate the identification of those patients with cancers of the HPB . Facilitate and act as resource/support at the patients point of diagnosis and may have to frequently contribute in discussing terminal illness/poor prognostic disease.
  • Attend and contribute to multi-disciplinary meetings, both in the Royal Surrey County Hospital and any appropriate satellite sites to ensure optimal patient management.

Ensure the provision of support both written and verbal for patients with cancers of the HPB enabling them to make informed choices and decisions at different stages of their cancer journey.
  • Provide patients with cancers of the HPB , their carers and primary care givers with a contact within the Royal Surrey County Hospital to help coordinate their care appropriately and offer specialist advice regarding their treatment/condition.
  • Act as a role model on the wards and within the clinic setting, facilitating the identification of the patients physical, social, psychological and spiritual needs and working with the multi-professional team to plan how these needs can be met. Use specialist knowledge to assess and interpret complex complications/conditions relating to HPB Cancers and instigate appropriate actions.
  • To work in partnership with other members of the health care services both in primary and secondary care to enhance patient choice about their care and treatment.
  • Able to work autonomously without supervision, managing caseload, providing patient focused, specialist care to complement the multi-disciplinary team. Whilst also working within team settings.
  • Stay updated with trust procedures and policies to enable hands on participation in patient care.
  • To assess, plan, implement and evaluate programmes of care for patients with HPB cancers.
  • To ensure the use of evidenced based practice when caring for patients with cancer of the HPB .
  • Identify areas where other nurse led initiatives could improve patient experience.
  • To support the patient and their relatives through diagnosis, treatment and relapse.
  • To work closely with the Palliative Care Team within the Cancer Unit and in the Community to provide expert care for patients with HPB cancers.
  • To raise awareness throughout the Royal Surrey County Hospital NHS Trust of the role of the HPB cancer Clinical Nurse Specialist.
  • To participate in the clinical governance process within the Trust and develop and manage a clinical risk management framework for HPB services.
  • To network with other site specific/cancer care Clinical Nurse Specialists in the Trust.
  • To link with HPB Clinical Nurse Specialists within the Cancer Network and act as tertiary link to ensure effective and timely management of patients treatment.
  • Develop links with Clinical Nurse Specialists from all referring hospitals within the expanding catchment areas, to aid more effective communication.
  • In conjunction with other members of the multi-disciplinary team develop Trust wide guidelines, protocols and identified pathways of care for the management of HPB cancers leading to the evaluation of multi-disciplinary care and the Clinical Nurse Specialist role.
  • Participate in the Service Review process and help implement changes and recommendations with the Cancer Services,
  • To participate in departmental audit projects, utilising results and outcomes to improve services including patient satisfaction studies.
  • Maintain and develop the database of all patients with HPB cancer, working in conjunction with the audit collector.
  • Participate in benchmarking both locally and nationally.
  • To maintain and develop ones own professional knowledge and expertise to meet PREP and the jobs requirements.
  • To actively share knowledge and expertise and contribute to the Trust as a whole
  • To delegate appropriate responsibilities to enhance individuals level of practice and professional development
  • To reflect as a practitioner, learning from experience and to promote reflective practices within the ward.
  • To participate within the NMC Code of Professional Conduct at all times

Please see the attached job description and person specification for further information as this is the criteria used for shortlisting.

Person Specification



  • First Level Registration
  • Evidence of continuing education and development
  • First degree in nursing or subject relating to health


  • Management qualification
  • Recognised counselling/advanced communications qualification
  • Masters degree

Knowledge and Experience


  • Demonstrable experience at band 6/7 level
  • Relevant recent gastrointestinal clinical experience


  • Planning development services
  • Management of change

Skills and Capabilities


  • Ability to motivate others, to promote on-going development of specialty nursing
  • Excellent organisational, communication, leadership and interpersonal skills
  • Teaching skills
  • ENB 998 or C& G 730 or Mentor Preparation Course.
  • Ability to work independently but equally well as a team member
  • Intermediate IT skills including Excel and Powerpoint Basic IT skills and including Word
  • Presentation skills
  • Diplomacy skills

Employer details

Employer name

Royal Surrey NHS Foundation Trust


The Royal Surrey Hospital

Egerton Road



Any attachments will be accessible after you click to apply.


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