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Trainee Advanced Clinical Practitioner

The Christie NHS FT
£43,742 to £57,349 per annum
Closing date
27 Jun 2024

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Other Health Profession
Band 7
Contract Type
Full Time
SACT services and Central Nervous System (CNS) oncology speciality

SACT services and Lower Gastrointestinal oncology speciality

SACT services and Gynaecology oncology speciality

Band 7 (On successful completion of Advanced Clinical Practice MSc Band 8a)

We have 3 exciting opportunities to join the Medical Oncology teams delivering advanced clinical care to patients with Central Nervous System (CNS), Lower Gastrointestinal and Gynaecology malignancies and providing acute care and support to the Oak Road Treatment Centre and SACT services at The Christie Foundation Trust. The current teams are led by Medical Oncologists and a team of clinical nurse specialists. The trainee Advanced Clinical Practitioner post holder will work within the busy and dynamic teams within the outpatient settings.

The successful candidate will be highly motivated and driven to improve patient care and experience and will have significant nursing / Allied Health Professional experience within the medical and oncology setting. They will be supported to complete their MSc in advanced clinical Practice, enabling them to work autonomously in the planning, assessment and delivery of care for this complex group of patients.

Main duties of the job

On completion of training, you will continue to be supported to become an autonomous practitioner within the multidisciplinary team, offering support to both our nursing, AHP and junior medical colleagues.

The post holder will be expected to work over 5 days per week of which 15 hours will be dedicated to academic study. Upon qualifying the role will be split between the chosen specialty clinics and ORTC which can incorporate Weekends and Bank Holidays. The successful applicant must be able to commence in post September 2024.
  • Provide clinical assessment and support to the care and treatment of a diverse caseload of patients requiring oncology input.
  • Demonstrate a highly specialist knowledge and skills in the diagnosis and management of patients with Central Nervous System (CNS) malignancies.
  • Demonstrate a high level of specialist knowledge and skills in the acute care and management of patients receiving SAC


About us

The Christie is one of Europe's leading cancer centres, treating over 60,000 patients a year. We are based in Manchester and serve a population of 3.2 million across Greater Manchester & Cheshire, but as a national specialist around 15% patients are referred to us from other parts of the country. We provide radiotherapy through one of the largest radiotherapy departments in the world chemotherapy on site and through 14 other hospitals highly specialist surgery for complex and rare cancer and a wide range of support and diagnostic services. We are also an international leader in research, with world first breakthroughs for over 100 years. We run one of the largest early clinical trial units in Europe with over 300 trials every year. Cancer research in Manchester, most of which is undertaken on the Christie site, has been officially ranked the best in the UK.

Job description

Job responsibilities


Advanced Clinical Practice

1.0 Plan and manage own workload and the workload of the service, in a flexible manner, ensuring that service provision meets the need of patients.

1.1 Recognises and appropriately responds to limitations and gaps in knowledge seeking support where necessary. Demonstrates critical self-reflection, self-awareness, emotional intelligence, resilience, and openness to change.

1.2 Develops and undertakes advanced clinical skills in assessing and managing patients. This includes obtaining informed consent, history taking, screening, systematic clinical examination, requisition and interpretation of appropriate clinical investigations and formulation of clinical management plans.

1.3 Maintain and develop expertise and competence within the field of oncology to enable collaboration with senior colleagues and medical staff, and to facilitate the management of patients.

1.4 Use evidence-based research to support clinical decisions and management plans.

1.5 Prescribe within the capacity of non-medical prescribing, adhering to Trust policy and existing frameworks including first and subsequent cycles of SACT (as per Medicines Practice Operational Policy July 2010), unlicensed medication and drugs used within clinical trials as qualified Independent Non-Medical Prescriber. Prescribe appropriate blood products as per Trust policy.

1.9 Liaise with the wider inter-professional teams regarding the management of patients under their care.

1.10 Accept referrals from other health care professionals and refer patients directly to other specialties within the appropriate primary, secondary and tertiary care settings.

1.11 Communicate highly complex and sensitive information to patients and their significant others, this may include diagnosis, results of scans or other investigations, management options and prognosis.

1.12 Work collaboratively with an appropriate range of multi-agency and multi-professional resources, developing, maintaining and evaluating links to manage risk and issues across organisations and settings.

1.13 Prepare accurate and concise records and reports, both verbal and written. Communicate with the patients referring specialist, GP and other community. and hospice-based services at regular intervals as appropriate.

1.14 Contribute to clinical and research governance processes, including adverse incident reporting and the investigation and the management of complaints as appropriate

1.15 Involve patients and their carers on issues surrounding health promotion, illness prevention and self-management. Promote and facilitate changes to lifestyle where appropriate.

1.16 Contribute to the coordination and effective management of the admission and discharge process as appropriate for disease group with reference to Bed Management Policy.

1.17 Perform clinical procedures safely according to defined protocols.

1.18 Develop patient specific information and ensure patients receive appropriate information, advice, and support in relation to their illness and treatment. Provide an environment that encourages patient centered involvement.

1.19 Be an active member of relevant Trust committees and groups contributing to developing/implementing local/national strategy.

1.20 Collaborate within the Greater Manchester Cancer Alliance and offer clinical support to colleagues within the SACT services, relating to individual patient management, health care delivery and strategic policy initiatives. Assist in the development of integrated patient pathways (e.g., NICE Guidance on Cancer Services, NHS Guidance etc).

1.21 Act as an expert resource and provide advice and support to ward/departmental areas and the wider community.

1.22 Demonstrate professionalism in terms of attitude, communication, and appearance at all times.

1.23 If appropriate to role in Research, adhere to ICH/GCP competence and commit to maintaining update ever 3 years.


2.0 Contribute as appropriate to the development of strategies within the Division and wider Trust.

2.1 Be a visible role model for advanced clinical practice in research demonstrating a person-centered approach to service delivery and development within the Trust and externally at a National & International level.

2.2 Promote the role of advanced clinical practitioner locally, nationally and internationally.

2.3 Pro-actively initiate and develop effective relationships to empower and inspire staff members, to promote productive working and enhance patient care.

2.4 Provide professional, clinical and academic leadership and supervision to other professionals as appropriate within the scope of the role

2.5 Lead on clinical audit, including service evaluation and clinical service re-design including evaluation of own practice, demonstrating the impact of advanced practice on service function and effectiveness, (e.g. outcomes of care, experience and safety).

2.6 Critically apply advanced clinical expertise to provide consultancy across professional and service boundaries, such as the development of clinical protocols, standards and guidelines to enhance quality and promote sharing and adoption of best practice.

2.7 Demonstrate excellent leadership skills by identifying, leading and implementing change required for service improvement, risk management, governance and quality.

2.8 Contribute to local, regional and national clinical networks including specialty groups and key stakeholders.

2.9 Continually develop practice in response to changing population health and research needs engaging in horizon scanning for future developments.

2.10 Actively seek feedback and involvement from patients, families and carers by engaging with Patient Participation and Involvement (PPI) groups in all aspects of patient care and research service delivery i.e., focus groups.

2.11 Demonstrate resilience and determination in managing situations which are complex or unpredictable.

2.12 Demonstrate receptiveness to challenge and preparedness to constructively challenge others, escalating concerns that affect individuals, families, carers, communities and colleagues safety and well-being when necessary.

2.13 Participate in innovative and research-based practice to promote excellence in patient care.

2.14 Maintain professional registration and practice through CPD and revalidation.

2.15 Maintain professional portfolio to demonstrate competency in line with the trust competency framework.

2.16 Maintain personal standards of conduct and behaviour consistent with Trust and NMC guidelines.

2.17 Recognise and acts as an advocate for patients, carers and service organisation. Lead change as required and ensure resolution of conflict.

2.18 To assume or share management responsibility for colleagues within disease group as required.


3.0 Critically assess and identify own learning and development needs in line with service requirements. Negotiate an annual personal development plan that reflects the breadth of ongoing professional development across the four pillars of advanced clinical practice and undertake professional development accordingly.

3.1 Engage in self-directed learning, critically reflecting to maximise clinical skills and knowledge. Participate in the on-going advanced clinical practice training and education program both within the organisation and beyond e.g., national/ international conferences.

3.2 Promote and contribute to a culture of organisational learning to inspire future and existing staff.

3.3 Actively engage in peer review to inform own and others practice, formulating and implementing strategies to act on learning and make improvements.

3.4 Undergo regular clinical supervision with colleagues from within the organisation e.g. a named mentor from the medical team, as well as seek mentorship externally and coaching where applicable.

3.5 Identify further developmental needs for individuals and the wider team and supporting them to address these.

3.6 Act as an educator, supervisor, coach and mentor, seeking to instill and develop the confidence and skill of others

3.7 Support, supervise and assess clinical competencies of colleagues/members of the multidisciplinary/research teams as appropriate

3.8 Provide specialist training and education locally, nationally and internationally (eg organising/hosting/presenting at meetings, study days, conferences etc).


4.0 Engage in research activity, adhering to good research practice guidance, so that evidence-based strategies are developed and applied to enhance quality, safety, productivity and value for money.

4.1 Contribute to the delivery of the Trust strategic vision for academic nursing and AHP roles.

4.2 Disseminate best practice/research findings and quality improvement projects through appropriate media. For example, via local team and/or national/international peer reviewed publications.

4.3 Evaluate and audit own and others clinical practice, selecting and applying valid, reliable methods, then acting on findings.

4.4 Critically appraise and synthesise the outcome of relevant research, evaluation and audit, using the results to underpin own practice, and to inform that of others.


This job description is an outline of the key tasks and responsibilities of the role and is not intended as an exhaustive list. The job will change over time to reflect the changing needs of the Trust and its services, as well as personal development needs of the post holder.

Person Specification



  • Registered Health Care Professional with clinical responsibilities e.g., -Registered Nurse -Pharmacist -Paramedic -Physiotherapist (This list is not exhaustive)
  • First degree (of standard required to access MSc. in Advanced Clinical Practice)
  • Progression to Band 8A is subject to successful completion of the MSc Advanced clinical practice programme (which includes clinical practice hours as defined by the University) and agreement of the clinical mentor & line manager.


  • Independent Non-Medical Prescribing Qualification.
  • Advanced Life Support Course.
  • Teaching & Mentorship Course
  • Evidence of prior, recent (within 5 years) learning at Level 6 (degree level) or Level 7 (Master's level)
  • Advanced Communication Skills training



  • Post registration experience with some experience at Band 6 or higher
  • Experience of working autonomously and as part of a team delivering clinical care to unwell patients
  • Experience in oncology/cancer care and/or acute medical care


  • Experience of assessing and managing acute medical problems.
  • Experience in the disease group e.g. lung/respiratory, renal medicine, Hepato-biliary pancreato/Neuroendocrine tumours



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