Job summary Advanced Clinical Practitioner - Urology Department - Cancer Services Band 8a (we would consider offering a band 7 training position working towards an 8a ACP role on qualification) Hours: 37.5 per week, all MKUH roles will be considered for flexible working An opportunity has arisen for an experienced Urology Nurse to join our dynamic nurse-led team and delivered service as a Urology Diagnostic ANP (Band 8a). The successful applicant will use advanced clinical assessment skills such as physical assessment, independent prescribing, flexible cystoscopy, prostate biopsy and ultrasound to diagnose patients referred on a suspected cancer pathway direct from GP. You should have experience in Urology (benign or cancer) and able to assess and manage patient referred on benign pathway from GP and other specialities eg. LUTS, Andrology issues, functional urological issues, Stone clinic review etc. You should have excellent interpersonal skills, resilience, emotional intelligence, and a professional manner, and be able to prioritise and organise your workload and work under pressure. There is an option to look at developmental posts for candidates showing progression in advanced skill but have not fully completed their ACP training commencing as a band 7 and working towards the 8a on completion of the Advanced Clinical Practice accreditation. Interview: 12 June 2025. Main duties of the job The ANP is an experienced registered nurse that uses advanced assessment and diagnostic skills in the management of patients referred with a possible diagnosis of urological cancer and benign conditions. Diagnostic processes include: Physical assessment, Consent, Review of Imaging, Transperineal biopsies under either general or local anaesthetic, Ultrasound and flexible cystoscopy. Taking prostate biopsies and flexible cystoscopy requires development of a highly specialist skill and the use of specialist equipment. The training of junior doctors and senior nurses in these skills is also an important part of this role. The role will require delivery of a comprehensive urology diagnostic pathway for patients suspected of having a urological cancer. In summary, the post-holder will be responsible for the delivery of the nurse led urology cancer diagnostic service, and the management of patients on this pathway up to the point of diagnosis and the onward referral/liaison with other services (e.g. Clinical/Medical Oncology). Post-holder will also triage, review, manage benign patients pathways referred into the urology services There is an expectation that the post holder will be involved in service development, research, teaching and education commitments and will have a willingness to develop oneself and promote the Trust through attendance and contribution at national and international forum. About us MKUH staff scored highest for 'I look forward to coming to work' (NHS Staff Survey 2023). We care We communicate We collaborate We contribute Join #TeamSurgery at Milton Keynes University Hospital The surgery division at MKUH, which covers specialties including theatres and the Intensive Care Unit, offers a variety of roles and opportunities, both clinical and non-clinical. The division are looking for passionate, enthusiastic and forward-thinking professionals to join the team. MKUH is one of the leading hospitals in Europe for implementing robotics to assist in surgery, becoming the first in the continent to use the CMR Versius robot for gynaecological surgery. Since its introduction in 2019, the theatres team have completed over 500 surgical cases, the first hospital in the UK to reach this milestone, achieving this in March 2023. As well as being an innovator in robotics, the Trust is proud to be part of the New Hospital Programme, with plans to expand and increase our surgical capacity to meet the health needs of our communities now and in the future. With a leading benefits package, and a growing hospital estate to meet one of the fastest growing populations in the country, it is a great time to join MKUH. Find out more about working in #TeamSurgery at MKUH from the people who work across the division in the video below. https://www.youtube.com/watch?v=-mYel-Y9nrU Details Date posted 16 May 2025 Pay scheme Agenda for change Band Band 7 Salary £46,148 to £60,504 a year per annum Contract Permanent Working pattern Full-time Reference number 430-SURG1534A-B7-B8a-B Job locations Urology (Dept) Milton Keynes MK6 5LD Job description Job responsibilities To be professionally and legally accountable for all work undertaken and to practice at an advanced level of professional autonomy and accountability that is within national urology cancer guidelines, MKUH Trust policies and NMC Code of Conduct. Perform a physical assessment including obtaining a clinical history, conducting the clinical physical examination and assessment of psychological well-being in order to make a diagnosis (having undertaken a physical assessment skills course). To deliver evidence based expert nursing care exercising a high degree ofprofessional autonomy, demonstrating ability to make sound decisions based onknowledge and experience. To assess individuals holistically using a range of different assessment methods and reach valid, reliable and comprehensive patient and client centred conclusions which manage risk and are appropriate to need context and culture. To independently receive patient referrals e.g. 2WW, utilising highly developed expert knowledge, diagnostic and clinical skills to carry out triaging, assessment and initiate diagnostic and treatment pathways. Please refer to the attached Job Description for further details. Job description Job responsibilities To be professionally and legally accountable for all work undertaken and to practice at an advanced level of professional autonomy and accountability that is within national urology cancer guidelines, MKUH Trust policies and NMC Code of Conduct. Perform a physical assessment including obtaining a clinical history, conducting the clinical physical examination and assessment of psychological well-being in order to make a diagnosis (having undertaken a physical assessment skills course). To deliver evidence based expert nursing care exercising a high degree ofprofessional autonomy, demonstrating ability to make sound decisions based onknowledge and experience. To assess individuals holistically using a range of different assessment methods and reach valid, reliable and comprehensive patient and client centred conclusions which manage risk and are appropriate to need context and culture. To independently receive patient referrals e.g. 2WW, utilising highly developed expert knowledge, diagnostic and clinical skills to carry out triaging, assessment and initiate diagnostic and treatment pathways. Please refer to the attached Job Description for further details. Person Specification Qualifications Essential Registered Practitioner with current registration with a professional regulatory body. A clinical leadership/management qualification/experience Desirable Master's degree in advanced clinical practice Non-medical prescriber Qualifications and knowledge Essential Highly developed communication skills (written and verbal) Specialist knowledge in the service Desirable Clinical History Taking and Physical Examination training/experience. Evidence of autonomous practice with high level of decision making Experience Essential Experience in providing expert clinical care and advice Evidence of producing and presenting clinical papers/posters Evidence of critical thinking with regards to effective patient management. Desirable Experience in clinical governance (risk management and complaints management) Experience in investigating serious untoward incident with follow up actions Experience of leading quality improvement initiatives Evidence of research skills Skills Essential Ability to seek and provide peer reviews and support Ability to participate on an on-call rota Ability to work collaboratively as part of a multidisciplinary team Ability to provide advice to other staff/teams Up-to-date knowledge of adult and child safeguarding Up-to-date knowledge of infection prevention and control issues Able to support personal resilience by seeking feedback and advice Able to engage patients and families in decision making Able to translate national guidance and guidelines into practice Desirable Budgetary management experience Previous experience as an ACP. Updated national initiatives on ACP Personal Development Essential Ability to be flexible, to have flair and initiative and be able to work in a team Motivated / positive - self-directed and committed. Professional image Have an ongoing personal development plan Ability to organize, priorities and coordinate work Communication Essential Excellent communication skills with colleagues and people at all levels Flexible approach to work Good listener Team player Ability to manage stressful situations, raise clinical issues and work independently to ensure the patients' needs are being met Ability to manage and motivate self and others. Specific requirements Essential Able to perform the duties of the post with reasonable aids and adaptations Person Specification Qualifications Essential Registered Practitioner with current registration with a professional regulatory body. A clinical leadership/management qualification/experience Desirable Master's degree in advanced clinical practice Non-medical prescriber Qualifications and knowledge Essential Highly developed communication skills (written and verbal) Specialist knowledge in the service Desirable Clinical History Taking and Physical Examination training/experience. Evidence of autonomous practice with high level of decision making Experience Essential Experience in providing expert clinical care and advice Evidence of producing and presenting clinical papers/posters Evidence of critical thinking with regards to effective patient management. Desirable Experience in clinical governance (risk management and complaints management) Experience in investigating serious untoward incident with follow up actions Experience of leading quality improvement initiatives Evidence of research skills Skills Essential Ability to seek and provide peer reviews and support Ability to participate on an on-call rota Ability to work collaboratively as part of a multidisciplinary team Ability to provide advice to other staff/teams Up-to-date knowledge of adult and child safeguarding Up-to-date knowledge of infection prevention and control issues Able to support personal resilience by seeking feedback and advice Able to engage patients and families in decision making Able to translate national guidance and guidelines into practice Desirable Budgetary management experience Previous experience as an ACP. Updated national initiatives on ACP Personal Development Essential Ability to be flexible, to have flair and initiative and be able to work in a team Motivated / positive - self-directed and committed. Professional image Have an ongoing personal development plan Ability to organize, priorities and coordinate work Communication Essential Excellent communication skills with colleagues and people at all levels Flexible approach to work Good listener Team player Ability to manage stressful situations, raise clinical issues and work independently to ensure the patients' needs are being met Ability to manage and motivate self and others. Specific requirements Essential Able to perform the duties of the post with reasonable aids and adaptations Disclosure and Barring Service Check This post is subject to the Rehabilitation of Offenders Act (Exceptions Order) 1975 and as such it will be necessary for a submission for Disclosure to be made to the Disclosure and Barring Service (formerly known as CRB) to check for any previous criminal convictions. UK Registration Applicants must have current UK professional registration. For further information please see NHS Careers website (opens in a new window). Additional information Disclosure and Barring Service Check This post is subject to the Rehabilitation of Offenders Act (Exceptions Order) 1975 and as such it will be necessary for a submission for Disclosure to be made to the Disclosure and Barring Service (formerly known as CRB) to check for any previous criminal convictions. UK Registration Applicants must have current UK professional registration. For further information please see NHS Careers website (opens in a new window). Employer details Employer name Milton Keynes University Hospital NHS Foundation Trust Address Urology (Dept) Milton Keynes MK6 5LD Employer's website https://www.mkuh.nhs.uk/working-at-mkuh (Opens in a new tab) Employer details Employer name Milton Keynes University Hospital NHS Foundation Trust Address Urology (Dept) Milton Keynes MK6 5LD Employer's website https://www.mkuh.nhs.uk/working-at-mkuh (Opens in a new tab). Location : Urology (Dept), MK6 5LD Milton Keynes, United Kingdom