An exciting opportunity has arisen for an Advanced Nurse Practitioner (ANP) in Acute Oncology Service (AOS) and Systemic Anti-Cancer Treatment (SACT) to join our team. With support from experienced nursing and medical mentors, the postholder will become part of the established ANP/Specialist Doctor team in the Private Patient MDU across Chelsea and Cavendish Square, working autonomously in an extended clinical role. This dynamic role involves advanced physical assessments of patients receiving SACT in day care, as well as those presenting acutely with oncological complications such as neutropenic sepsis, metastatic spinal cord compression, and disease-related emergencies. The ANP will undertake pre-treatment reviews, history-taking, clinical examinations, arrange and interpret investigations (e.g. bloods, imaging), and prescribe SACT and supportive treatments. Within the AOS remit, the ANP will play a pivotal role in the early recognition and management of acute deterioration, providing timely interventions to avoid unplanned hospital admissions and support safe discharge planning. The role is central to improving patient outcomes through rapid assessment and enhanced continuity of care. You’ll be expected to work with a high level of autonomy and clinical decision-making within agreed protocols. The Royal Marsden operates across two main centres—Chelsea and Sutton—with a Medical Day Unit at Kingston Hospital and a Private Diagnostics and Treatment Facility at Cavendish Square. This post covers the Acute Oncology Service (AOS) at the Chelsea site and Systemic Anti-Cancer Treatment (SACT) services at Cavendish Square. Supported by experienced nursing and medical mentors, the ANP will join the established ANP/Specialist Doctor team in the Private Patient Medical Day Units (PPMDU), working autonomously across both sites in an extended clinical role. Key responsibilities include providing visible clinical leadership to nursing teams, ensuring high standards of care through expert practice. The ANP will assess patients receiving SACT and supportive therapies, using advanced clinical decision-making to guide treatment planning. They will also identify, assess, and manage patients with complications or toxicities related to SACT or radiotherapy. The role includes recognising and responding to unwell or deteriorating patients, delivering prompt interventions, and coordinating safe transfers. The postholder will also lead the delivery of a responsive and high-quality Acute Oncology Service in line with national AOS measures, ensuring timely management of oncological emergencies such as neutropenic sepsis, MSCC, and malignant effusions. The Royal Marsden NHS Foundation Trust is a world-leading cancer centre. Our role is to offer our patients the best cancer care available anywhere in the world, and to continue to make a global contribution to finding better ways of diagnosing and treating cancer. We employ over 4,500 staff in a diverse range of careers including nursing, medical, science, radiography, pharmacy, occupational therapy, finance and administrative services. We have two hospitals – one in Chelsea, London, and one in Sutton, Surrey – as well as a Medical Daycare Unit in Kingston Hospital. At The Royal Marsden, we deal with cancer every day, so we understand how valuable life is. When people entrust their lives to us, they have the right to demand the very best. That's why the pursuit of excellence lies at the heart of everything we do. At the heart of the hospital is our dedicated team. We offer a stimulating and dynamic working environment, a wide range of staff benefits, learning and development opportunities and clear career pathways. There are opportunities to work flexibly across a range of areas and specialities and we welcome flexible working requests from point of hire to support employees work life balance. We are looking for employees who aspire to excellence, share our values and can play a crucial role in our on-going achievements. For further information on this role, please see the attached detailed Job Description and Person Specification: • The ANP will order investigations (e.g. X Rays, blood tests) and interpret results and escalate concerns and abnormalities as appropriate to the Consultant or Outreach teams (if in RM Chelsea). • Take responsibility for organising, undertaking and interpreting investigations, as appropriate, to ensure patients are fit as possible for treatment where necessary discussing with the Consultant. • To liaise with Day Care Sister/ Charge Nurse, administrative staff and other members of the MDT to optimise the smooth transition for the patient throughout their treatment pathway. • Review and prescribe medication in a timely manner ensuring it is within own level of knowledge and competence and within the scope of the Trust’s Policy for Non-Medical Prescribing qualification. • Following protocol, ensure through good practice that customer care initiatives are improved and sustained. Act as a resource for expert advice to patients, relatives/carers and staff. • To lead the provision of care in accordance with the Trust Policies reflecting current trends and developments in practice. This advert closes on Thursday 5 Jun 2025. Location : Chelsea, SW3 6JJ