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Lead Clinical Nurse Specialist in Lymphoma

Cardiff & Vale University Health Board
£44,398 to £50,807 per annum
Closing date
30 Apr 2024

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Band 7
Full Time
The post holder will have responsibility for developing and supporting this speciality service to provide equitable care to patients presenting with Lymphoma Cancer and act as a resource to carers, the Multi-disciplinary colleagues and the primary health care team. This will be achieved by the post holder ensuring a smooth transition of care from initial referral through diagnosis, treatment and beyond treatment into the survivorship stage, establishing links between the acute and primary care group, supporting both patient and carers to ensure a robust stratified follow up process for cancer patients.

The post holder would liaise with services within Wales and with other key partners such as Health Boards, Primary Care, Voluntary Services, Social Services and Hospices. The post holder will provide expert nursing advice and support to patients and their families at all stages of disease.

The main responsibilities of the role will be related to clinical expertise with an emphasis on initiating, performing and maintaining standards of clinical excellence.

A Non medical prescribing qualification would be desirable but can be taught.

This post is a secondment for 12 months due to meet the needs of the service.

If you are interested in applying for the secondment position, you must obtain permission from your current line manager prior to applying for this post.

Main duties of the job

The duties required for this role are:
  • Develop the knowledge base of other nurses and health care professionals caring for patients with myeloma
  • Initial patient assessment and initiating a care plan for patients in partnership with the wider multidisciplinary team (MDT).
  • Supporting patients whilst they are undergoing diagnostic tests
  • Assessing prescriptions to maximise patient management.
  • Providing patients, their families and staff with expertise (in-depth knowledge and understanding of Lymphoma)
  • Undertaking medicine management for lymphoma patients.
  • Initiating and implementing standards of nursing treatment and care for Lymphoma patients
  • Developing new approaches to running services
  • Undertaking strategic planning to incorporate specific speciality needs and evidence-based practice
  • Providing nurse-led clinics as appropriate such as pre and post transplant and inpatient/outpatient
  • Undertaking HN

Other duties will include
  • To request and organise chemotherapy treatments, stem cell collection and transplant work up.
  • To liaise with community palliative care teams and other community based agencies to provide community support and specialist care for those that require it.
  • To be actively involved in myeloma clinical trials at UHW and to be the main point of contact to facilitate recruitment of myeloma patients from across South Wales into appropriate trials in conjunction with the clinical trials team.
  • Network locally and nationally to ensure best practice

About us

Cardiff and Vale University Health Board is one of the largest Integrated Health Boards in the UK, employing over 15,000 staff, providing over 100 specialist services. Working across 6 hospital sites, we have a diverse range of career opportunities to offer. Serving around 500,000 people living in Cardiff and the Vale of Glamorgan, we are focussed on the health and care needs of our local population whilst working with our partners to develop regional services.

Our mission is Caring for People, Keeping People Well,and our vision is that every person's chance of leading a healthy life should be equal. As an organisation we are unashamedly ambitious for our population's health, rising to the challenges of today and tomorrow through our 10-year strategy, Shaping our Future Wellbeing. We are contributing to a healthier Wales with great emphasis placed on innovation and improvement, learning from around the world and leading the way in clinical research. Partnership working is strong at Cardiff and Vale, and we work closely with our staff and our community.

Cardiff, the thriving Welsh capital, is a fantastic city to live and work in with an abundance of sports, arts and cultural attractions. Situated to the west of Cardiff, the Vale of Glamorgan offers a combination of beautiful Welsh countryside and a dramatic natural coastline. Whether city life or rural living, Cardiff and the Vale offers the best of both worlds.

Job description

Job responsibilities

You will be able to find a full Job description and Person Specification attached within the supporting documents or please click Apply now to view in Trac

The ability to speak Welsh is desirable for this post Welsh and/or English speakers are equally welcome to apply.


JOB SUMMARY/JOB PURPOSEWorking as an autonomous practitioner devise, implement and follow up specialisttreatments across the disease spectrum for patients within a specific group. To be askilled practitioner providing expert clinical care using an extensive theoreticalknowledge base and practical experience to underpin the role, while acting as a rolemodel for the delivery of expert relation to the specific disease, including medical, nursing and Allied HealthTo line manage staff in specialist area including staff from other disciplines.To lead research and audit within given speciality internally and externally to the UHB

Clinical and Patient Care ResponsibilitiesTo work as an autonomous expert practitionerTo provide up to date evidence based care.To be an expert resource, providing expert clinical advice to all members of the interdisciplinary team, patients, carers and other agencies.

To utilise advanced nursing skills and extensive knowledge base to undertake specialist assessments, critically analysing complex information to make informed decisions regarding appropriate treatment/intervention to ensure the delivery of highly specialist care.To be responsible and accountable for legible and contemporaneous records.To devise, prescribe, evaluate and document care and treatment and outcomesTo assess patients condition and appropriately advise/prescribe and/or administer medication within UHB, Local and National best practice guidelines as accordingly.To have a positive influential role and impact on care across the clinical area

Clinical PracticeTo have an active role in devising and participating in the development andimplementation of policies, protocols and clinical pathways to improve care within the clinical area of expertise in line with UHB/ National strategic policy and implement where required throughout the UHB.To actively participate in benchmarking with other specialist services across local/ national/ international organisations.To autonomously manage individual caseload, using expertise in devising,providing and implementing highly specialised programmes of clinical carespanning primary, secondary and/or tertiary care.Provide highly specialist advice to patients, carers and other health professionals.To have a highly specialised knowledge base within clinical sphere and become an advice resource for other healthcare professionals from the multi-disciplinary team across primary and secondary care and, where required, tertiary care.To ensure consultations and changes in treatment are communicated to all,(internal and external) involvedTo assess and critically analyse complex health information to implement and evaluate ongoing care management plans and to change as necessary to ensure prompt, effective and appropriate patient care.Using highly specialist knowledge, interpret complex clinical information toeducate and advise patients, encouraging them to participate in informed decision making and informed consent

Communication and Relationships Skills

To be the lead clinical link between specialist services and other care providersTo ensure effective communication with patients and their carers, including the provision of patient and carer education, emotional support and health promotionTo ensure adequate communication that is empathetic and reassuring to patients and families especially when information is complex, sensitive and highly emotiveTo provide patients and their carers/families with highly complex information providing empathy and reassurance while ensuring any barriers to understanding have been overcome

To provide psychological and practical advice/support to patients carers/ families whilst respecting patients confidentiality


To act as a positive role model within and outside the Health Board

To work in accordance with Nursing and Midwifery Council Code of Professional Conduct, Standards for Conduct, Performance and Ethics

Maintain own professional development in nursing and midwifery locally,nationally and seek opportunities to develop role

Maintain confidentiality under the Data Protection ActBe accountable for own professional actions and decisionsEnsure professional registration/revalidation is up to dateTo undertake Values Based PADRs within the teamTo actively participate in own Values Based PADR processTo be responsible for annual update of independent prescribing scope of practiceTo continue ongoing professional development by participating in professional forums throughout the UHB/ locally and nationally.To undertake study days and self study to ensure continued development in the area of specialism.To encourage innovation in clinical practice (by motivation and example).Ensure there are processes in place to receive feedback frompatients/carers/families with regard to their experience


To develop highly specialist knowledge base and be an expert resource formembers of the interdisciplinary team regarding specialist care management.To apply highly specialised knowledge attained via MSc level of education to support clinical practice.To proactively engage and lead where appropriate in devising, planning anddelivering specialist training programmes to a range of health care professionalsin a range of settings (e.g. ward/clinic based/lecture theatre/conference) ensuring knowledge of caring for these patients is cascaded and UHB/local/national polices on the care of these patients is implemented throughout the UHBTo actively consult local/national Universities as a specialised expert resource to devise and deliver educational sessions/ programmes for pre and post registration students across the MDT.To supervise and support the education and development of individual nurses caring for patient group in the clinical areaTo identify and ensure personal educational requirements are met at all times to support advanced clinical practice and skills.To set up, implement and manage professional interest groups within various specialities to ensure and maintain the profile of the field throughout the Health Board, using these forums as a platform to provide specialist professional teaching to allow the cascade of information throughout the UHB / local and national forumsTo be responsible for providing ongoing education, training and support for staff to develop new advanced skills.

ResearchTo be able to understand, analyse and disseminate current research and be able to critically analyse its significance to practice. Implementing findings to improve care for service users where needed and share up to date practice with other nurses/health care professionals in the clinical areaActively devise and undertake research projects within specialist fieldTo participate and/or co-ordinate UHB, local and national research activity within the specialist area of practice. Ensuring GCP (Good Clinical Practice) certification is 100% up to dateTo provide teaching, support and supervision to allow others to understand and participate in the research process.To formulate and/or implement research protocols for NHS/Commercial studies in accordance with UHB Research and Development polices.To publish and disseminate research conclusions.To present research findings at appropriate meetings locally/nationally/internationally

ManagementTo take the role of Lead Clinical Nurse Specialist within specialist serviceTo line manage staff within specialist areaUndertake annual appraisals for all staff within sphere of responsibility.To actively participate in the management of concerns, complaints and incidents within your clinical speciality


To regularly plan, initiate and participate in clinical audits regarding care/patient management.To analyse audit data and disseminate/present information at clinical governance meetings, seminars, link nurse meetings etc, on a local, national and international arena.To become a resource to other health professionals undertaking care/patient management audits.

Quality and SafetyTo be responsible for the immediate identification and response to clinical risk issues within specialist area by instigating measures/action plans to protect patients and staff health and safety.To maintain accurate, easily accessible records of all clinical incidents (including the monitoring of trends).To agree action plans (when appropriate) to prevent recurrence of criticalincidents.To raise concerns regarding clinical risk/poor practice within specialist area to Lead/Senior Nurse/Directorate Manager/Clinical Director/Clinical RiskDepartment.To comply with the University Health Board policies and protocols.To present clinical risk issues at Health Board Quality and Safety meetings when necessary.

Person Specification



  • NMC current registration


  • Non medical prescriber or willing to work towards



  • MSC / evidence of CPD
  • Demonstrable experience in relevant speciality
  • Significant post registration experience
  • Excellent communication skills
  • Sound IT skills
  • Evidence of managing self development
  • Evidence of ability to work independently
  • Demonstrate specific knowledge and skills in specialty
  • Evidence of ability to motivate, influence change, support staff and evaluate services
  • Evidence of professional and personal development


  • Experience of managing own caseload
  • Ability to speak welsh
  • Involvement of audit and research
  • Evidence of presenting work within and outside organisation

Employer details

Employer name

Cardiff and Vale University Health Board


University Ho
Any attachments will be accessible after you click to apply.


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