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Acute Oncology Lead Nurse

King's College Hospital NHS Foundation Trust
£66,718 to £76,271 Per annum including HCA
Closing date
12 Jul 2024
To effectively lead, develop, contribute to and influence Acute Oncology Services (AOS) within the trust, South East London Cancer Alliance (SELCA) and nationally to enable partnership development across services.

To provide timely, efficient and effective operational management support for the Acute Oncology Nursing Team assisting the Head of Nursing, Clinical Director and General Manager for Cancer to ensure that this service is responsive, innovative and provided to the highest possible standard.

To problem solve as appropriate, and develop and implement lasting solutions in conjunction with clinical colleagues. To be a key member of the Cancer Management Team, taking full responsibility for actions and for keeping other team members fully informed at all times.

To be responsible for writing, implementing and evaluating clinical guidelines, and promoting practice developments within the clinical governance framework to ensure local and national objectives are achieved especially Acute Oncology, Cancer of Unknown Primary and Metastatic Spinal Cord Compression Quality Standards and guidance.

To attend, chair and co-chair AOS-related operational, and project group meetings locally and SELCA group and develop action plans from the meeting and be able to influence key personnel for local delivery.

Main duties of the job

  • To lead the Acute Oncology Nursing team across the trust
  • To be professionally accountable for all work undertaken and to practice at an advanced level of professional autonomy and accountability that is within the AO service, the KCH polices and NMC Codes of Conduct
  • To independently receive and make referrals and lead a caseload of patients with complex AO needs across health settings
  • To utilise advanced clinical reasoning skills and evidence-based knowledge in the management of patients with high complex presentations
  • To make independent clinical decisions and initiate investigations, care/treatment and technological intervention within an agreed framework
  • To direct and use the results of specific investigations to assist formation of diagnosis and plan patient management with accurate patient records as per the trust guidance
  • To monitor, evaluate and critically appraise AOS nursing practice and to modify approaches to clinical care as necessary
  • To lead the development of clinical expertise in AOS nursing enabling nurses to develop advanced assessment, decision-making and prescribing skills
  • To work with key personnel and wider MDT, involved in care of cancer patients with acute presentations of cancer or malignancy of unknown origins
  • To promote the development of Kings College Hospital NHS Foundation Trust as an international centre of excellence

About us

King's College Hospital NHS Foundation Trust is one of the UK's largest and busiest teaching Trusts with a turnover of c�1 billion, 1.5 million patient contacts a year and around 15,000 staff based across 5 main sites in South East London. The Trust provides a full range of local hospital services across its different sites, and specialist services from King's College Hospital (KCH) sites at Denmark Hill in Camberwell and at the Princess Royal University Hospital (PRUH) site in Bromley.

King's is committed to delivering Sustainable Healthcare for All via our Green Plan. In line with national Greener NHS ambitions, we have set net zero carbon targets of 2040 for our NHS Carbon Footprint and 2045 for our NHS Carbon Footprint Plus .

Our values at King's, are that we're a kind, respectful team. Kind. We show compassion and understanding and bring a positive attitude to our work.Respectful. We promote equality, are inclusive and honest, speaking up when needed.Team. We support each other, communicate openly, and are reassuringly professional

The trust-wide strategy Strong Roots, Global Reachis our Vision to be BOLD, Brilliant people, Outstanding care, Leaders in Research, Innovation and Education, Diversity, Equality and Inclusion (EDI) at the heart of everything we do. By being person-centred, digitally-enabled, and focused on sustainability, we can take Team King's to another level

Job description

Job responsibilities

  • Strategy and Planning:
    • To support the development of, and promote, the Trusts mission, values aims and objectives.
    • To contribute to the Trust strategy and business plan, leading on the development of plans for the Acute Oncology Services, as part of the annual planning cycle and on an ad-hoc basis as required.
    • To work with the Business Management team to produce accurate, high quality business cases for service developments, taking into account activity and income projections.
    • To contribute and lead on where appropriate new initiatives derived from the AOS working group within SELCA.
    • Engage with appropriate agencies as a nursing leader in the development of innovative nursing practice and initiatives.
    • Enhance AO nursing as a nursing sub-specialty within the acute Trust.
    • Develop this pioneering role to strengthen nursing leadership
    • Share knowledge and expertise, acting as an expert resource to others within and outside the organization.
    • Act as a role model promoting development of advanced nursing practice
    • Have an appreciation of national and international standards and advise on shaping of services to meet local need.
    • Set local standards promoting best practice, utilizing leadership and change management skills
    • Act as a role model and advisor for nurses within the Trust and the wider arena as appropriate i.e. primary care/other Trusts/national meetings
    • Take a lead for annual quality surveillance reviews with the cancer management team
  • Operational performance
    • To play a major role in modernising the operational delivery of Acute Oncology services within the Cancer Network, in line with the strategic direction of the Trust, working with clinical teams to embed the project work undertaken as part of Acute Oncology Project Group improvements.
    • To ensure that all Acute Oncology Services and provided within the Hospital setting, inpatient and outpatient, are of a consistently high quality.
    • To be accountable for performance of the hospital services against all key nursing dimensions within the performance management framework, taking corrective action as required.
    • To help the clinical teams within the Acute Oncology Services to resolve their operational issues on a day to day basis, which will range from basic administration issues to more complex approaches requiring the support and agreement of large teams of people.
    • To investigate and respond to formal complaints as required, taking steps to ensure that the lessons are learnt from issues which give rise to complaints and that these issues are not repeated.To ensure the establishment and maintenance of good relationships and communication, promoting a culture where clinical and other staff are actively involved in decisions on how services are provided and targets delivered.
    • To ensure nursing rotas are in place to cover all services as required.
    • To support the defined multidisciplinary teams through advice and guidance in the delivery of nursing care and services through identifying areas for development and implementing change using research and experience to evaluate outcomes.
    • To ensure patients are managed through agreed pathways of care that are evidence-based.
    • To work with the wards/departments in assessing training needs to deliver safe pathways for cancer patients with Acute Oncology presentations to deliver a safe and quality service, identify deficits and develop programmes to address the issues.
    • To maintain an overview of the standards of care delivered across defined clinical areas and take immediate action to remedy failures
    • To participate in the audit process to improve patient care delivery and develop pathways of care to improve the quality of the service.
    • To lead on benchmark and quality audits ensuring that staff receive feedback and implement action as directed.
    • To maintain a high clinical profile and visibility through daily walk rounds the clinical area and regular quality ward/department rounds.
  • People Management /Performance
    • Lead, coach and manage the performance of the team in line with good people management practices. Ensuring excellence is recognised and underperformance is addressed.
    • Participate in regular performance appraisal meetings and ensure each member of the team has a clear set of objectives and development plans.
    • Ensure the team is compliant with all statutory, mandatory training together with any professional training requirements, ensuring they are up to date and fully compliant.
    • Manage team absences including sickness in line with Trust policy ensuring the appropriate return to work meetings occur, e-roster is updated and productivity is at keep to the highest possible level.
    • Identify and fill any vacancies that arise within the team in line with the Trusts recruitment policy and process.
    • Identify talent and support the internal talent management process in order attract and retain and succession plan for your people.
    • Review skills mix at regular intervals in order to identify any potential opportunities to maximise resource utilisation / allocation, ensuring job descriptions are kept up to date.
    • Ensure overall wellbeing of the team is maintained. Continuously support in improving the morale of the team and implementing a culture of zero-tolerance for bullying and harassment.
  • Education, Research, Quality and Audits
    • To lead on formulating plans to meet the AO training and education needs of staff, at an individual, team and organisation level an develop LEAP induction tainting.
    • To initiate new programmes of education and training to facilitate changes in practice, both at a Trust and SELCN perspective.
    • To provide learning opportunities for nurses and other health care professionals via mentorship, supervision and rotation. This includes providing inter-professional support for staff of all disciplines.
    • To promote a culture where research is valued, critically appraised and incorporated into practice.
  • Clinical Governance, Quality and Evaluation of Patient Experience
    • Work with Head of Nursing Cancer on clinical governance and quality assurance across the trust for all aspects of Acute Oncology nursing services. Link up with wider Cancer Management Team.
    • Lead on development of a programme of ongoing audits and patient evaluation surveys for the Acute Oncology Service, in line with service objectives, Trust key performance indicators, ACN, Acute Oncology Group audits and the Cancer peer review process.
    • Present findings and recommendation from audits results to relevant governance committees as requested on regular basis.
    • Collect, collate and report activity data. Produce and present regular formal reports to key stakeholders, professional groups, SEL ACN Acute Oncology Group.
    • Actively engage service users through the facilitation of user groups and open days in the planning and delivery of care and development of services.
    • Promote peoples equality, diversity and rights.
    • Undertake regular audits of his/her prescribing practice nurse led activities
    • Maintaining accurate patient records and effective ways of communication outside the organisation

    Person Specification

    Knowledge and Experience


    • Relevant experience and at a senior level (Band 8a or above) in cancer or acute care clinical practice
    • Experience in participation in service development and implementation of change
    • Up to date knowledge on Safeguarding issues and statutory framework
    • Experience in data analysis and evaluation, presenting data and driving change
    • Experience in managing a clinical team including significant experience in staff management, from the setting of objectives, team and individual appraisal, recruitment and disciplinary issues.
    • Ability to work pro-actively and co-operatively with senior management and clinical staff, including at times of stress

    Education and Qualification


    • Professional registration (eg NMC/HCPC)
    • MSc qualification
    • Mentorship qualification
    • Chemotherapy training qualifications
    • Non-Medical Prescribing
    • Advanced Physical Assessment Skills


    • Acute Clinical Practice

    Employer details

    Employer name

    King's College Hospital NHS Foundation Trust


    Kings College Hospital

    Denmark Hill


    SE5 9RS

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