Chelsea and Westminster Hospital Foundation Trust wishes to appoint a Straight to Test (STT) Clinical Nurse Specialist for the Lung Cancer pathway, working cross-site but primarily based at West Middlesex Hospital. The Trust is looking for an enthusiastic and self-motivated nurse to join the team.

The Lung Cancer Straight to Test (STT) Clinical Nurse Specialist (CNS) functions within a field of practice that focuses on the needs of the patient and encompasses interaction with others in delivering nursing, health and social care.

The CNS promotes excellence in nursing practice through the integration of expert clinical practice, education, consultancy, acting as a resource and commitment to nursing research. The post holder will work closely with the Respiratory, Cancer Services and Diagnostics teams across the patient pathway.

Main duties of the job

The post holder will contribute to the on-going role in the development of the service for patients with suspected or confirmed lung cancer. This will include developing protocols setting up and running a variety of nurse led clinics (STT/non-STT/New/Follow-up/Cancer/non-Cancer/Face to Face/Virtual/Telephone/or other) for assessment and follow up care. The post holder will be the key professional involved in leading the triage assessment service which includes vetting referrals,telephone assessments and requesting appropriate investigations on this assessment.

The post holder will directly influence, support and contribute to key cancer performance metrics including 2 week wait (2WW) / urgent suspected cancer (USC), Faster Diagnosis Standard (FDS) and 62-day treatment.

About us

Chelsea and Westminster Hospital NHS Foundation Trust is one of England's top-performing and safest trusts. We operate two main acute hospital sites--Chelsea and Westminster Hospital and West Middlesex University Hospital--along with award-winning clinics across North West London.

Our nearly 7,500 staff care for a diverse population of 1.5 million, providing full clinical services, including maternity, A& E, and children's services, plus specialist HIV and sexual health clinics. The Care Quality Commission rates us 'Good' in safety, effectiveness, care, and responsiveness, and 'Outstanding' in leadership and resource use.

We continually invest in our facilities, including a £30m expansion of critical care at Chelsea and Westminster and an £80m Ambulatory Diagnostic Centre at West Middlesex.

We welcome applications for flexible working arrangements, accommodating requests where possible to support our staff and patient needs.

The Trust is committed to equality and welcomes applications from all, regardless of background. Adjustments can be made for disabled candidates. Early application is advised as vacancies may close once sufficient applications are received. If you haven't heard from us within three weeks of the closing date, your application was likely unsuccessful. Employment is subject to a six-month probationary period.

Some roles may require weekend shifts at multiple sites.

Job description

Job responsibilities

Key responsibilities Expert Clinical Practice/Leadership

1. To provide expert nursing advice to patients with suspected lung cancer over the phone or face to face where necessary.

2. To demonstrate specialist skills and knowledge through expert nursing practice.

3. To liaise with all relevant members of the multidisciplinary team in the care and support of individual patients including GPs.

4. To maintain a high profile in the clinical area, acting as a role model for other health care professionals.

5. To facilitate individualised patient care based upon the principles of evidence based practice.

6. To act as a liaison nurse between investigations until patient is diagnosed with cancer or referred back to GP.

7. To hold a variety of nurse led clinics, including the development of written protocols based on national standards, triaging or following up suspected lung cancer patients, arranging investigations, reviewing results, diagnosing and referring back to a medical team as appropriate.

8. To refer patients diagnosed with lung cancer for on-going support.

9. To work in close collaboration with all members of the MDT.

10. To provide professional clinical leadership and expertise to other nursing staff.

11. To work as part of the Lung Cancer Clinical Nurse specialist wider team, rotating responsibilities to ensure cover of the entire patient pathway including post diagnostic care and support.
Education / Leadership
1. To promote patient/carer independence through the provision of relevant teaching and support.

2. To participate in and organise study days/education programmes.

3. To develop resource and teaching packs for use by patients and/or staff in the clinical and educational setting.

4. To embed patient and public involvement within the sphere of practice, seeking and acting on patient feedback of the triage assessment service.

5. To ensure the provision of appropriate written information is available to patients and staff.

6. To participate in the Trusts on-going educational programmes.

7. To liaise with other organisations, charities and agencies dedicated to lung cancer.
Research/Audit/ Quality
1. To utilise up-to-date research findings in the delivery of patient care and to disseminate this knowledge to all members of the multidisciplinary team.

2. To participate as appropriate in relevant research studies and audit findings and disseminate these findings to clinical practice as appropriate in order to develop best practice.

3. To identify opportunities for nursing research within own specialist area and carry out nursing research appropriate to the speciality.

4. To regularly audit service including eliciting the views of patients, carers and professionals ensuring patient feedback is incorporated into developments in the service.

1. To attend relevant departmental and Directorate and network meetings relating to clinical governance and to contribute to the clinical governance agenda.

Management

1. To liaise with other members of the team to ensure that there is an efficient use of resources (human, financial and time).

2. To ensure that there is a safe and acceptable environment for clients/patient.

3. To act as a patient/staff advocate through the application of ethical, legal and professional knowledge and skills.

4. To influence, support, and contribute to key cancer performance metrics including 2 week wait (2WW) / urgent suspected cancer (USC), Faster Diagnosis Standard (FDS) and 62-day treatment.

To be flexible with working cross-site across Chelsea and Westminster Hospital and West Middlesex Hospital, covering colleagues and service demand as required
Personal Development
1. Demonstrate continuous evaluation and reflection of own practice and make changes where appropriate.

2. Take personal responsibility for life-long learning and personal development through clinical supervision, appraisals and appropriate professional and Trust standards / frameworks for skills and behaviours.

3. Be accountable for own training and development needs, including compliance with Trust mandatory and statutory training requirements.

4. Actively engage and identify opportunities for own learning and development, including accredited training.

5. Ensure compliance with best practice and NICE guidance in relation to patient pathways and support junior colleagues in achieving compliance.

6. Promote patient participation in decision making and enable their informed choice of appointments in line with trust booking policy.

7. Undertake other duties as appropriate to the grade at the request of the line manager and / or Trust that may be required from time to time.

8. Participate in annual reviews of the role and JD and modify as required to meet the evolving nature of the post.
Collaboration/ Consultancy
1. To work in a collaborative manner with all members of the multidisciplinary team recognising the unique contribution of other disciplines and appropriately referring.

2. To recognise own limitations and seek advice and support on referrals.

3. To act as a resource within the Trust and to participate in Trust-wide professional groups as appropriate.

4. To represent the Trust locally and nationally, participating in and speaking at conferences.

5. To work in a collaborative manner with local primary care teams.

6. To act as a resource to primary care teams, attending meetings organised by the PCT as appropriate.

7. To provide specialist advice and support related to the purchasing and commissioning of resources/services.

8. To act in an advisory / collaborative role with senior management in issuesrelation to the specialty.

Person Specification

Essential

Essential

• Registered Nurse Qualification
• Experience of working with patients with respiratory disease
• An understanding of NHS, Cancer Strategy and Trust performance targets
• Knowledge/Experience of lung cancer symptoms, lung disease and pathology
• Able and flexible to work cross-site across CW and WM hospitals
• Experience of working with electronic patient records and other IT systems

Desirable

• Masters degree
• Advanced communication skills course or equivalent
• Knowledge of change management theory
• Experience of running Nurse led clinics

Employer details

Employer name

Chelsea and Westminster Hospital NHS Foundation Trust

Address

Cross Site across West Middlesex University hospital and Chelsea & Westminster Hospitals

London

TW7 6AF

Any attachments will be accessible after you click to apply.

289-EI-1646-A