Clinical Nurse Specialist Rapid Diagnostic Centre
An exciting opportunity has arisen to appoint an inspirational, passionate and enthusiastic Clinical Nurse Specialist in the Rapid Diagnostic Centre team
The post requires vision, innovation and the ability to work across professional boundaries, underpinned by a real desire to provide the highest standards of patient care. You will be an enthusiastic and motivated individual with advanced clinical skills who can work autonomously and as a key member of the RDC team.
The RDC Nurse Specialist will provide a rapid evaluation of the patient to reach a definitive diagnosis, advice to the patient on management of their condition, signposting to appropriate support services and rapid onward treatment should cancer be diagnosed. The post holder will support patients with a suspected cancer diagnosis through the vague symptom pathways and also the new pathways being developed as part of the service expansion. The role will also involve co-ordinating the care of patients undergoing Radiological and Endoscopy investigation and supporting patients through their procedures, as well as engaging with primary care teams to provide support and education for referrers.
A commitment to individualised evidence based patient care and ability to act sensitively with empathy as well as having excellent communication skills is essential.
You will be joining an excellent supportive team with a commitment to ongoing education.
Main duties of the job
Main Duties and Responsibilities
The RDC will offer a GP urgent referral service for patients with non-specific symptoms which could indicate cancer, as well as additional site specific Two Week Wait pathways. The RDC will provide a rapid evaluation of the patient to reach a definitive diagnosis, advice to the patient on management of their condition, signposting to appropriate support services and rapid onward treatment should cancer be diagnosed.
Responsibilities of the role include:
Working alongside RDC Clinical team and provide nursing clinical leadership across the RDC service and responsibility for ensuring the delivery of high quality patient care Practising autonomously and being self-directed, including leading on providing excellent patient care in line with developed RDC pathways and being a clinical champion to cascade best clinical practice. Be accountable for co-ordinating patient care with the RDC navigators Providing line management support to the members of the RDC navigators Take responsibility for the implementation of audit, quality and risk management initiatives and support the evaluation of the RDC service Representing the Trust and the speciality at both internal and external meetings related to the RDC service as appropriate Being responsible for evaluating and delivering health promotion and screening advice, given opportunistically to patients as appropriate
About us
Bolton NHS Foundation Trust is an integrated provider of acute, intermediate and community health care serving the population of Bolton. This provides us with an opportunity for our services to work closely with our partners in primary care and the local authority to ensure a seamless service for our patients.
Here at Bolton our patients are at the heart of everything we do. We ensure our patients receive the highest quality of Care and are guided by our trust Values. We are proud that our Trust is a centre of excellence formaternity, neonataland care for children, and that it has been rated as Good by the Quality Care Commission (CQC). This is in recognition of the patient experience and quality of care that our staff provide to patients. It is also supported by our Nursing, Midwifery and Allied Health Professional Framework for Professional Practice.
The aims of this Trust are to improve the health of and provide the best possible care to the population in which we serve and ensure that our staffs have joy and pride in their work. We are striving to recruit a workforce that reflects the communities in which we serve. We value our staff and can offer excellent opportunities for further training and development. We are keen to reflect our local population and therefore applications from all sectors of the community are welcomed.
Job description
Job responsibilities
Responsibility for Patient Care
The post-holder will:
Actively engage service users throughout the development of the RDC and pathways
2.Accept referrals directly from primary and secondary care into the service as appropriate
3. With the key medical staff, help lead, organise, develop and deliver a service involving follow-up of individual patients
4.Enhance the quality of care provided to patients presenting with potential symptoms of cancer-early recognition, rapid onward referral to specialist cancer or specialist palliative care teams in hospital or community as appropriate
5. Provide assessment (including e-HNA) and evaluation of individual patient needs referring to other multidisciplinary team members, as appropriate, using set guidelines and protocols this includes comprehensively assessing patient suitability and level of risk using service proformas and policies, contributing to the recommendation of best treatment options using clinical protocols this may include referral straight to CT
6. Order appropriate clinical investigations as required within the required timeframe
7.Attend any RDC Clinical / MDT meetings and contribute to the discussions and feedback patient assessment / care planning and management decisions as appropriate as the key worker
8.Participate in the decision making process with the medical and multidisciplinary team to ensure appropriateness of referral to the RDC
9. Review and interpret all information available utilising a systematic process of reasoning to make a working and differential diagnosis with the support of medical staff as required
10. Lead, organise, develop and deliver a clinical service (and caseload as appropriate) on a day-to-day basis in the RDC service including follow-up of individual patients care or to ensure there are appropriate onwards referrals to other clinical teams if required as appropriate
11. Ensure that the consultation environment is conducive to a professional patient assessment, positively reflecting the reputation of the service and that it provides the patient maximum privacy and dignity
12. Collect, collate, evaluate and report information, maintaining accurate patient records
13. Ensure effective contribution to clinical decisions regarding changes to patient care interventions
14. Provide telephone help/advice for patients and carers along with the RDC Navigators
15. Maintain a high clinical profile and facilitate application of theory to practice, whilst carrying out clinical duties in accordance with National, Network, Trust and local standards and policies, in order to improve the quality of care
Planning and Organising
The post-holder will:
1. Ensure objectives for the service are appropriate, delivered on time, to a high quality and in a cost effective manner, adjusting plans as required
2. Support the RDC Project Team to work with a wide range of stakeholders (including patients & carers) to develop clear and deliverable plans on any redesign and improvement work required for the service resulting from service evaluation and other feedback including education and training initiatives
3. Support joint working between teams and between primary, secondary (and tertiary where applicable) care on identified project components
4. Support the RDC Project Team in managing the quality of key programme documentation, product development including commissioning specification, policies and other documents
5. Support the RDC Project Team in highlighting exceptions and risks ensuring mitigating actions can be taken to keep the programme on track
6. Support RDC Project Team on local scoping work to identify gaps and dependencies
Responsibility for Policy and Service Development and Implementation
Report and investigate any adverse incidents relating to the management of the RDC service, making recommendations as appropriate and taking actions to avoid the adverse incident in the future Support the RDC Project Team as required to collate qualitative and quantitative information and lead appropriate analysis to develop robust business cases and contribute to development of the service Lead, propose and implement policy/service change which may impact beyond own area of work Support the RDC Project Team and the Associate Director of Nursing for Cancer to design policies and guidelines relevant to the role
Responsibilities for Human Resources and Leadership
Support the Associate Director of Nursing for Cancer to ensuring effective leadership and management of the RDC Service, working in partnership with the Clinicians and linking with key stakeholders and deputising where required Support the Associate Director of Nursing for Cancer in providing direction for the service.
Responsibilities for Teaching and Training
Support RDC Project Team if required to lead (large) groups in multi-professional workshops and other improvement development events To share learning with other programme staff, other commissioners and services as needed in discussion with the Line Manager and the various local and regional RDC programme groups Maintain a peer network of support, information and learning with other nurse specialists
Responsibilities for data and information resources
In conjunction the RDC Project Team as appropriate interpret data from a broad range of organisations to identify improvement areas and present this in a clear and concise format Provide data to enable the evaluation, analysis and interpretation of progress and performance
Research, Development and Audit
The post-holder will:
1. Identify objectives for own professional development through effective Contribution Framework (CF2) participation which reflect local and national service needs in discussion with the RDC Lead Nurse
2. Act as a resource to others in developing and improving knowledge and skills in others including the RDC navigators
3. Contribute to the development of practice knowledge within the speciality through internal and external presentation and publication as appropriate
4. Network with peers including the attendance at appropriate forums internally and externally
5. Maintain own and others awareness of relevant research evidence related to the speciality and work others in applying this to practice as appropriate
6. Support the Associate Director of Nursing for Cancer to develop evidence based standards, policies and guidelines at a local, network and national level to improve the practice of own and other professions
7. Support the Associate Director of Nursing for Cancer to evaluate clinical effectiveness within the speciality, identifying poor quality and a plan for quality improvement
8. Take part in reflection and appropriate learning from practice, in order to maintain and develop competence and performance as appropriate
Partnership Working
1. Contribute to defining and clarifying the strategic direction of the service with the Associate Director of Nursing for Cancer and RDC Project Team
2. Engage and facilitate all interested stakeholders of the service in the planning of service development as appropriate in conjunction with Associate Director of Nursing for Cancer
3. Continually review and evaluate policies, strategies and service development to maintain and improve care delivery as appropriate
4. Encourage and facilitate changes in working practice in line with Stockport NHS Foundation Trust objectives
5. Develop and facilitate team working across functional boundaries
6. Work with the Clinical Teams to enable delivery of the clinical governance agenda and the continual improvement of services
7. Ensure the involvement of users in service planning and development and that their views, including complaints are effectively sought, channelled and acted upon in line with Trust policy
8. To contribute to local/regional/national groups related to the RDC
Person Specification
1st level degree , RMN/RN
Essential
Desirable
Non medical prescribing
Essential
Desirable
post registration learning
Essential
Desirable
Communication
Essential
Employer details
Employer name
Bolton NHS Foundation Trust
Address
Royal Bolton Hosptial
Minerva Road
Bolton
BL4 0JR
Any attachments will be accessible after you click to apply.
241-639AA-24
The post requires vision, innovation and the ability to work across professional boundaries, underpinned by a real desire to provide the highest standards of patient care. You will be an enthusiastic and motivated individual with advanced clinical skills who can work autonomously and as a key member of the RDC team.
The RDC Nurse Specialist will provide a rapid evaluation of the patient to reach a definitive diagnosis, advice to the patient on management of their condition, signposting to appropriate support services and rapid onward treatment should cancer be diagnosed. The post holder will support patients with a suspected cancer diagnosis through the vague symptom pathways and also the new pathways being developed as part of the service expansion. The role will also involve co-ordinating the care of patients undergoing Radiological and Endoscopy investigation and supporting patients through their procedures, as well as engaging with primary care teams to provide support and education for referrers.
A commitment to individualised evidence based patient care and ability to act sensitively with empathy as well as having excellent communication skills is essential.
You will be joining an excellent supportive team with a commitment to ongoing education.
Main duties of the job
Main Duties and Responsibilities
The RDC will offer a GP urgent referral service for patients with non-specific symptoms which could indicate cancer, as well as additional site specific Two Week Wait pathways. The RDC will provide a rapid evaluation of the patient to reach a definitive diagnosis, advice to the patient on management of their condition, signposting to appropriate support services and rapid onward treatment should cancer be diagnosed.
Responsibilities of the role include:
About us
Bolton NHS Foundation Trust is an integrated provider of acute, intermediate and community health care serving the population of Bolton. This provides us with an opportunity for our services to work closely with our partners in primary care and the local authority to ensure a seamless service for our patients.
Here at Bolton our patients are at the heart of everything we do. We ensure our patients receive the highest quality of Care and are guided by our trust Values. We are proud that our Trust is a centre of excellence formaternity, neonataland care for children, and that it has been rated as Good by the Quality Care Commission (CQC). This is in recognition of the patient experience and quality of care that our staff provide to patients. It is also supported by our Nursing, Midwifery and Allied Health Professional Framework for Professional Practice.
The aims of this Trust are to improve the health of and provide the best possible care to the population in which we serve and ensure that our staffs have joy and pride in their work. We are striving to recruit a workforce that reflects the communities in which we serve. We value our staff and can offer excellent opportunities for further training and development. We are keen to reflect our local population and therefore applications from all sectors of the community are welcomed.
Job description
Job responsibilities
Responsibility for Patient Care
The post-holder will:
2.Accept referrals directly from primary and secondary care into the service as appropriate
3. With the key medical staff, help lead, organise, develop and deliver a service involving follow-up of individual patients
4.Enhance the quality of care provided to patients presenting with potential symptoms of cancer-early recognition, rapid onward referral to specialist cancer or specialist palliative care teams in hospital or community as appropriate
5. Provide assessment (including e-HNA) and evaluation of individual patient needs referring to other multidisciplinary team members, as appropriate, using set guidelines and protocols this includes comprehensively assessing patient suitability and level of risk using service proformas and policies, contributing to the recommendation of best treatment options using clinical protocols this may include referral straight to CT
6. Order appropriate clinical investigations as required within the required timeframe
7.Attend any RDC Clinical / MDT meetings and contribute to the discussions and feedback patient assessment / care planning and management decisions as appropriate as the key worker
8.Participate in the decision making process with the medical and multidisciplinary team to ensure appropriateness of referral to the RDC
9. Review and interpret all information available utilising a systematic process of reasoning to make a working and differential diagnosis with the support of medical staff as required
10. Lead, organise, develop and deliver a clinical service (and caseload as appropriate) on a day-to-day basis in the RDC service including follow-up of individual patients care or to ensure there are appropriate onwards referrals to other clinical teams if required as appropriate
11. Ensure that the consultation environment is conducive to a professional patient assessment, positively reflecting the reputation of the service and that it provides the patient maximum privacy and dignity
12. Collect, collate, evaluate and report information, maintaining accurate patient records
13. Ensure effective contribution to clinical decisions regarding changes to patient care interventions
14. Provide telephone help/advice for patients and carers along with the RDC Navigators
15. Maintain a high clinical profile and facilitate application of theory to practice, whilst carrying out clinical duties in accordance with National, Network, Trust and local standards and policies, in order to improve the quality of care
Planning and Organising
The post-holder will:
1. Ensure objectives for the service are appropriate, delivered on time, to a high quality and in a cost effective manner, adjusting plans as required
2. Support the RDC Project Team to work with a wide range of stakeholders (including patients & carers) to develop clear and deliverable plans on any redesign and improvement work required for the service resulting from service evaluation and other feedback including education and training initiatives
3. Support joint working between teams and between primary, secondary (and tertiary where applicable) care on identified project components
4. Support the RDC Project Team in managing the quality of key programme documentation, product development including commissioning specification, policies and other documents
5. Support the RDC Project Team in highlighting exceptions and risks ensuring mitigating actions can be taken to keep the programme on track
6. Support RDC Project Team on local scoping work to identify gaps and dependencies
Responsibility for Policy and Service Development and Implementation
Responsibilities for Human Resources and Leadership
Responsibilities for Teaching and Training
Responsibilities for data and information resources
Research, Development and Audit
The post-holder will:
1. Identify objectives for own professional development through effective Contribution Framework (CF2) participation which reflect local and national service needs in discussion with the RDC Lead Nurse
2. Act as a resource to others in developing and improving knowledge and skills in others including the RDC navigators
3. Contribute to the development of practice knowledge within the speciality through internal and external presentation and publication as appropriate
4. Network with peers including the attendance at appropriate forums internally and externally
5. Maintain own and others awareness of relevant research evidence related to the speciality and work others in applying this to practice as appropriate
6. Support the Associate Director of Nursing for Cancer to develop evidence based standards, policies and guidelines at a local, network and national level to improve the practice of own and other professions
7. Support the Associate Director of Nursing for Cancer to evaluate clinical effectiveness within the speciality, identifying poor quality and a plan for quality improvement
8. Take part in reflection and appropriate learning from practice, in order to maintain and develop competence and performance as appropriate
Partnership Working
1. Contribute to defining and clarifying the strategic direction of the service with the Associate Director of Nursing for Cancer and RDC Project Team
2. Engage and facilitate all interested stakeholders of the service in the planning of service development as appropriate in conjunction with Associate Director of Nursing for Cancer
3. Continually review and evaluate policies, strategies and service development to maintain and improve care delivery as appropriate
4. Encourage and facilitate changes in working practice in line with Stockport NHS Foundation Trust objectives
5. Develop and facilitate team working across functional boundaries
6. Work with the Clinical Teams to enable delivery of the clinical governance agenda and the continual improvement of services
7. Ensure the involvement of users in service planning and development and that their views, including complaints are effectively sought, channelled and acted upon in line with Trust policy
8. To contribute to local/regional/national groups related to the RDC
Person Specification
1st level degree , RMN/RN
Essential
- Has Degree in Nursing
Desirable
- Part way to achieving degree
Non medical prescribing
Essential
- Is a NMP
Desirable
- going through NMP
- Willing to undertake NMP
post registration learning
Essential
- Post registration experience in specialist area
- Leadership experience
Desirable
- limited evidence of speciality specific learning
Communication
Essential
- Advanced communication skills
Employer details
Employer name
Bolton NHS Foundation Trust
Address
Royal Bolton Hosptial
Minerva Road
Bolton
BL4 0JR
Any attachments will be accessible after you click to apply.
241-639AA-24
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