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UGI Cancer Clinical Nurse Specialist

Northampton General Hospital NHS Trust
Northampton General Hospital
£43,742 to £50,056 Per Annum / Pro Rata
Closing date
4 May 2024

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Nurse, Adult nurse, Cancer nurse
Band 7
Contract Type
Part Time
Do you have what it takes to support an Upper GI Cancer patient on their journey? Support them holistically, coordinate their pathway with other members of the MDT? Then this is the post for you! The Upper GI Cancer Nursing Team at NGH are looking for someone enthusiastic, hard working and caring to join them. We want someone who will be responsible for the provision of high quality, patient centred care ensuring patients/carers living with UGI cancer have access to expert information, advice and support from the point of suspicion of cancer.

In return you will have the support and guidance of a highly skilled nursing team, Consultants and other members of the MDT.

You will be able to access Macmillan training and liaise with other Macmillan Nurses here at the Trust to gain a wealth of knowledge and skills.

Main duties of the job

The post holder will be a core member of the Upper GI Cancer Multidisciplinary Team, responsible for the provision of high quality, patient centred care ensuring patients/carers living with UGI cancer have access to expert information, advice and support from the point of suspicion of cancer.

The post holder will act as the main point of contact, using advance communication skills to co-ordinate the patients' pathway, liaising with members of the MDT, other healthcare professionals across primary secondary care and the voluntary sector to ensure a seamless service for patients and their families.

The post holder will be responsible for implementing the key elements of personalised care ensuring patients are offered a HNA/care planning at keys stages of the pathway in line with national directives and support the delivery of End of Treatment Summaries after each episode of treatment.

The post holder will work as part of the Upper GI CNS team providing cover to ensure continuity of care across the Macmillan Upper GI CNS service

Our team is made up of two Band 7's, a Band 6 and a Band 4. Together we cover service, liaising with both surgical, oncology and medical teams to provide best possible care.

About us

Northampton General Hospital is one of the largest employers in the area and we are on an exciting journey. All of our divisions are committed to doing things better, with more efficiency as we update, modernise, and advance. We have also entered into a Group Model with neighbouring Kettering General Hospital NHS Foundation Trust and become University Hospitals of Northamptonshire.

Our Excellence Values






We want to recruit the best people to deliver our services across the University Hospitals of Northamptonshire and help to unleash everyone's full potential. As an organisation, we value how we communicate and promote our vacancies to all communities.

The Hospital Group encourages applications from people who identify from all protected groups, especially those from BAME, Disabled and LGBTQ+ backgrounds as these are underrepresented in our hospitals.

We understand that we need to work with colleagues from diverse backgrounds and make sure the environment they work in is inclusive and collaborative.

We have active Networks that promote and support colleagues from all backgrounds. This ensures everyone feels supported and has a sense of belonging working for Kettering and Northampton General Hospitals.

Job description

Job responsibilities

To undertake a comprehensive holistic assessment of patients needs (HNA) at key stages during the illness experience from the point of diagnosis in line with National directives

To agree a plan of care in consultation with the patient/family, ensuring a written copy is available for the patient.

To attend the weekly cancer multidisciplinary team meeting, contributing to the discussion, providing expert nursing opinion on the patients assessment and care

To screen patients for psychological distress using a recognised tool

To provide Level 2 psychological support for patients and their carers, referring patient with complex needs to the Macmillan Clinical Psychologist.

To provide specialist support for patients and their families, ensuring their physical, psychological, social, emotional and spiritual needs are identified and met.

To lead on complex communication issues and co-ordinate the patients pathway acting as the main point of contact or responsible for nominating a main point of contact for the patient depending on their individual needs.

To identify and met patient/carers specialist informational needs utilising the local Macmillan Information Centre, referring patients to the dedicated Cancer You Tube Channel to support self-management strategies.

Supports the development of patient focussed education, including specialist information and advice to self-manage ongoing consequences of treatment.

To identify and address the palliative care needs of patients and their families, referring patients with complex needs to the Specialist Palliative Care Team

To identify AMBER patents working with the multidisciplinary team to agree ceiling of intervention.

To identify the patients Preferred Place of Care at the appropriate point in the illness experience, communicating very sensitive information to patients/carers ensuing they have the opportunity to discuss their choice of where they wish to die where possible.

Support the generation of an End of Treatment Summary for patients following each modality of treatment, ensuring their ongoing needs are identified and addressed.

To respond to EAU alerts for patients with UGI cancer providing specialist information and support, co-ordinating their pathway from the point of admission

To lead the development of specialist Health & Wellbeing events for patients living with UGI cancer, ensuring they are tailored to meet their individual needs

To use advance communication skills to support patients in the development of an Advance Care Plan, identifying their preferences and wishes

To initiate proactive telephone support for patients in the palliative stage of their disease, identifying new or progression of symptoms providing specialist advice and support

To promote a culture that supports and enables self-management.

Utilise patient/carer experience feedback to drive innovation and change.

Promote self-management, risk stratifying patients into who can self-manage following education, those who will need guided support to self-mange and those who will require ongoing face-to-face support in order to support people to live with cancer.

To adhere to the NMC Code of Professional Conduct and other national regulations

To participate in the formal review process and plan future personal development and competencies to be achieved, actively engaging with the learning and development opportunities offered by Macmillan.

To act as a specialist resource for healthcare professionals relating to UGI cancer, providing expert nursing advice and support

To support patients at new diagnosis cancer clinic in Nene Park Outpatients alongside the Leicester surgeon and specialist dietician

To follow up patients following UGI surgeries in a nurse led clinic as per national and local guidelines

To promote collaborative working relationships and effective communication between all members of the Upper GI cancer multidisciplinary team and across different boundaries of care

To act as a role model demonstrating high standards of holistic care, providing clinical leadership in UGI cancer.

To support the development of the Band 6 Macmillan GI Nurse/Support Worker, contributing to the appraisal process and objective setting

To become acquainted with the local and regional pathways for patients with UGI cancer including knowledge of contact points for referral and advice.

To demonstrate advance practice in planning, implementing and evaluating nursing care, documenting the outcomes of consultations in the hospital notes and on the Somerset database.

In all aspects of work, challenge and demonstrate an ability to work across organisational and professional boundaries.

To identity own personal development needs to work at specialist level and take appropriate action to ensure that these are met

To maintain a personal professional profile, demonstrating clear evidence for nursing revalidation

Demonstrate skills in conflict resolution and negotiation skills when dealing with difficult or challenging situations

To be actively involved in the self-assessment against National Quality Standards related to UGI cancer, taking an active part in the NHS England Quality Surveillance Program

To ensure the specialist nursing service is development in line with National directives related to cancer care.

To collect activity data to demonstrate the effectiveness of the specialist nursing service.

To participate in service reviews, completing a SWAT analysis to highlight the effectiveness/challenges of the nurse specialist service

To actively seek feedback from patients/carers to inform service developments

To lead the development of policies and clinical guidelines to enhance the specialist nursing service in line with national directives

To promote the specialist nursing service through conferences and written papers

To influence decisions regarding service delivery through participation in local, regional and national meetings

To evaluate the effectiveness of the nurse specialist service, implementing change to enhance the patient/carer experience

To identify areas of practice this may be expanded to promote optimal care and the best outcomes for patients

Develop specialist nurse led clinics, performing and undertaking a holistic review of the patients following surgery & oncology treatment to support self-management strategies and early identification of recurrence of disease.

To request relevant tests/investigations

To act as an independent nurse prescriber

To initiate and be actively involved in nursing research/audit

To promote best practice ensuring care in evidence based

To demonstrate knowledge of the clinical trials available for UGI cancer patients

Person Specification

Educations, Training and Qualifications


  • Educated to degree level or equivalent level of education, training or experience.
  • Evidence of continued professional development
  • A recognised teaching qualification
  • Level 2 Psychological Support Training or willingness to undertake
  • Advanced communication skills training or equivalent level of education or training
  • Relevant master's degree or working towards
  • RN Level 1


  • Registered independent nurse prescriber or willingness to undertake
  • IRMER course or willingness to undertake

Knowledge and Experience


  • In-depth knowledge and experience in caring for patients living with UGI cancer
  • In-depth knowledge and experience in the core domains of personalised care
  • Experience of multi-professional working
  • Leadership & Management
  • Knowledge of the National Frameworks related to UGI cancer
  • Experience of leading research/audit
  • Ability to exercise initiative & implement change
  • Ability to develop policies, protocols & guidelines


  • Previous experience of working as a Clinical Nurse Specialist



  • Excellent communication skills
  • Advanced Assessment Skills
  • Ability to work autonomously & as part of a multidisciplinary team
  • Effective organisation and time management skills
  • Ability to exercise initiative & implement change
  • Effective negotiation and interpersonal skills
  • Ability to develop policies, protocols & guidelines
  • Problem solving skills
  • Analytical and IT skills


  • Effective report writing skills

Key Competencies/Personal Qualities and Attributes


  • Passionate and committed to bring our Dedicated to Excellence values to life, improving the way we work with each other, particularly focusing on empowerment, equality diversity and inclusion of our staff, patients and service users
  • Diplomatic, calm & objective
  • Assertive and confident, yet approachable
  • Innovative, flexible, enthusiastic & motivated

Employer details

Employer name

Northampton General Hospital


MacMillan Endoscopy Nurses. Northampton General Hospital

Northampton General Hospital


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