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Lead Macmillan Clinical Nurse Specialist

The Christie NHS FT
£50,952 to £57,349 per annum, pro rata
Closing date
28 Jun 2024

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Nurse, Adult nurse, Cancer nurse
Band 8A
Contract Type
Full Time
The Christie hospital urology cancer service is one of the largest in Europe, proving care to a population of over 8 million people. An exciting opportunity has arisen to join a well-established surgical urology nursing team as the team leader.

We are looking for an experienced, dynamic advanced clinical nurse specilaist who is passionate about the patient experience and the delivery of quality patient-focused care. You will work closely with the wider nursing team, operational manager, and lead clinicians to improve operational efficiency and enhance the urology cancer patient experience.

You will demonstrate highly developed specialist knowledge and skills and provide personalised support and advice to patients undergoing treatment for urology cancer. You will be responsible for leading and delivering clinical nursing services for patients undergoing urology cancer treatment, as well as leading on co-ordinating and improving the pathways of care across organisational, professional and geographical boundaries, both autonomously and as part of a highly valued member of the urology surgical and oncology team.

Main duties of the job

The successful candidate will be an experienced urology/oncology/surgical nurse and be highly motivated and driven to improve patient care and experience. You will be an excellent communicator and will have the opportunity to use your clinical and professional leadership skills to encourage and promote best outcomes for patients, their relatives, and carers. Excellent interpersonal skills are paramount for this post together with confidence to engage and work with a range of colleagues at all levels and from all professional groups.

To apply you need to be a dynamic, enthusiastic, motivated, and pro-active individual. The successful applicant will have experience and knowledge of treatment pathways and specialist care for urology cancer patients and must be able to demonstrate sound leadership skills and evidence of personal and professional development.

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


1. To provide comprehensive and specialist assessment such as holistic needs assessment and care planning for patients with a range of highly complex presentations, by utilising advanced clinical reasoning, evidenced based knowledge, investigative and analytical skills and specialist assessment techniques.

2. Plan, implement and evaluate care delivery both physical and psychological according to changing health care needs to ensure continuity of effective patient care and considers inclusivity and personalisation.

3. To communicate complex clinical findings to the patient/cares to gain valid informed consent prior to any intervention or procedure.

4. To work within a legal framework for those patients who lack capacity to consent to treatment.

5. Through visible leadership, ensure that the delivery of kind, compassionate and respectful care takes place and that the Clinical Nurse Specialist Team develop relationships with patients that involve better listening and decision making.

6. Ensure the maintenance of professional contemporaneous records at all times, document all actions and interventions in a clear, honest and timely manner in line with Trust policy.

7. Collect, collate, evaluate and report information, Involve patients and carers/relatives in the planning and delivery of care and development of services to enhance the patient/carer experience.

8. Work collaboratively with other professionals and agencies to ensure patient needs are met, especially in relation to ongoing care needs and discharge arrangements. Ensure the introduction of end of treatment summaries/ letter to enhance the patient/carers understanding of their treatment. This may encompass primary, secondary and other tertiary care providers.

9. Develop effective teamwork, to ensure that the delivery of patient care is reviewed as part of a multidisciplinary team.

10. Deal with concerns raised by patients and carers in a proactive manner, review patient feedback results and update patient experience improvement plans as needed.

11. Champion a safeguarding culture, which meets the needs of people with issues involving mental capacity or children.

12. Ensure patients, relatives and other staff are received in a professional manner and act in a courteous and polite manner at all times, thereby ensuring good public relations between patients, public and staff.

13. Use advanced communication skills in a variety of settings.

14. To have an advanced knowledge of local and national standards that may impact on practice.

15. Ensure care supports all clinical quality external accreditation and legal frameworks, for example Care Quality Commission (CQC) essential standards.

16. Embed a culture of improvement, measuring practise and using data variations to develop local improvement projects.

17. Ensure agreed systems and process to consistently provide safe, effective high quality patient care.

18. Participate in Macmillan bi-yearly reviews and provide Macmillan annual reports.

19. Ensure high standards of patient care at all times, challenging and ensuring others challenge poor practise, in accordance with the NMC Professional Code of Conduct.

Managerial & Leadership

1. Ensure nursing practices comply with Trust procedural documents.

2. To ensure the Trusts risk management policy is appropriately utilised within the department.

3. Manage the service when on duty with overall clinical responsibility and lead a team of specialist nurses, to carry out delivery of care to a complex group of patients.

4. Develop the team, ensuring a learning environment, leading by example and to be aware of the effect of change upon all bands of staff.

5. Ensure the health and safety of all staff, patients, and carers, reporting any incidents, hazards or defects and taking responsibility to minimise risk. To implement action plans to ensure improvement is an incident has occurred. At all times adhering to and ensuring adherence to Trust policies and procedures.

6. Lead improvement/ transformation projects as indicated by local and national initiatives.

7. Deploy staff to ensure safe and appropriate care is always given. This includes the approval of leave and working hours, anticipating problems where they exist and taking local/timely actions as appropriate.

8. As a line manager, take responsibility for human resource issues including appraisal, personal development, sickness absence, disciplinary and grievance, recruitment and selection personal career development delegating as appropriate.

9. Ensure all complaints both formal and informal are dealt with promptly and courteously in accordance with Trust policy.

10. Actively lead and participate in local and Trust meetings proactively seeking to improve patients experience and feeding back relevant information to the team.

11. Meet regularly with the ACN or Lead Nurse to monitor clinical care, finance/resources and HR issues ensuring clear communication pathways.

12. With the ACN, operational team and finance managers work closely to achieve financial balance.

13. Undertake clinical supervision of health care professional colleagues on an individual or group basis.

14. Promote patient and public involvement activities in the specialist area, leading to service improvement.

Education & Development.

1. Lead any teaching, supervision and assessments, delegating as appropriate. Provide a quality learning environment for all staff.

2. Ensure all essential mandatory training is completed and that accurate records are maintained for self and CNS teams.

3. Monitor and supervise performance of all staff, identifying and auctioning specific training needs, delegating as appropriate.

4. Ensure the implementation of health promotion strategies, as agreed by the multidisciplinary team.

5. Ensure relevant and up to date patient information is readily available.

Ensure specialist nurses input in the clinical education of patients and staff.

6. Lead and contribute to developments on the surgical wards dictated by local and national initiatives and undertake benchmarking.

7. Receives clinical supervision as part of own professional development.

Research & Audit

1. Initiate and undertake research, audit and benchmarking initiatives in order to understand and improve effectiveness of patient care including clinical governance and patient safety issues.

2. Lead on the development and implementation of research, audit and benchmarking programmes.

3. Disseminate research and audit findings through presentation to professional groups and publication.

4. Lead on strategies to facilitate the review of current practices and act as change agent in response to research and audit results through policy and protocol developments.

5. Lead on the writing of protocols relevant to own clinical speciality.


Undertake any other duties requested as appropriate to the banding.

Person Specification



  • Degree in Nursing/Health related subject
  • Recognised teaching and assessing qualification
  • Current NMC registration
  • Evidence of extensive expert professional/clinical knowledge in area supplemented by specialist clinical training and CPD
  • Masters level studies or working towards, or equivalent experience


  • Non-medical prescriber
  • Advanced communication
  • Post basic qualification in leadership and/or management
  • Counselling certificate/ diploma
  • Foundations in cancer care/ oncology module



  • Significant experience post registration including working at a senior level
  • Experience of leading and developing teams
  • Has the ability to manage conflicting views and reconciles inter and intra professional differences of opinion
  • Service improvement experience


  • Evidence of proactive involvement in the development of nurses and nursing practice
  • Experience of influencing change
  • Evidence of effective team working across professional and organisational boundaries
  • Evidence of involvement in the development of programs of care, protocols and audit at local and national level
  • Experience of implementing research into clinical practice



  • Well-developed leadership and influencing skills with the ability to enthuse, motivate and involve individuals and teams, and have them understand the Trust's and your performance expectations
  • Ability to be intellectually flexible and to look beyond existing structures, ways of working, boundaries and organisations to produce more effective and innovative service delivery and partnerships
  • A commitment to improving the services through an ability to sustain a clear performance focus on achieving demanding goals.
  • Effective written communication skills including analysis and presentation of reports
  • Able to give effective oral presentations when expressing ideas to groups or individuals
  • Ability to analyse complex issues and make decisions
  • Leadership and organisational skills
  • Ability to work under pressure and meet deadlines
  • Able to work independently and as part of a team
  • Able to offer encouragement and support to others to foster both personal and professional development


  • Ability to manage conflicting views and reconciles inter and intra professional differences of opinion
  • Capable of working strategically



  • Wide knowledge of developments in the NHS impacting on Trust including Comprehensive understanding of current NHS initiatives and targets.
  • Confident with HR policies and procedures and demonstrable evidence of managing significant numbers of staff.
  • Accreditation (CQC) and revalidation knowledge and experience.
  • Evidence of extensive expert professional/clinical knowledge in area supplemented by specialist clinical training and CPD


  • Evidence based knowledge in surgery, palliative care and psycho-oncology



  • Ability to demonstrate the organisational values and behaviours



  • The post holder will be required to exert occasional light to moderate physical effort
  • Excellent inter-personal and communication skills with good listening skills
  • High level of work organisation, self-motivation, drive for performance and improvement, and flexibility in approach and attitude
  • Strong sense of commitment to openness, honesty and integrity in undertaking the role
  • Able to work with staff at all levels across the Trust
  • To exert frequent concentration - responding to frequent changing needs in the clinical area and to deal with service issues

Employer details

Employer name

The Christie NHS FT


Surgical CNS - E00941


M20 4BX

Any attachments will be accessible after you click to apply.


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