Job summaryThe post holder is required to deliver an advanced level of clinical practice within the field of cancer. Working with the local and nationally agreed frameworks, the Advanced Nurse Practitioner (ANP) exercises independent judgment to assess, investigate, diagnose, plan, implement and evaluate the clinical care and management of patients within their specialist field of practice.The ANP has key working relationships will all members of the medical, nursing and multi-disciplinary and department management teams.The ANP practises in partnership with the multi-disciplinary team under the clinical supervision provided by a department Surgical Consultant and Consultant Nurse.Main duties of the jobMAIN DUTIES AND RESPONSIBILITIESRotation between Bolsover Street and Stanmore sites where and when applicable to meet the service need.KEY RESPONSIBILITIESTo triage new patient referrals, liaising closely with GPs and referrers.To be responsible for providing autonomous advanced assessment of patients referred to the sarcoma service working in an advanced practitioner role in a nurse led diagnostic clinic with the authority to order investigations such as blood tests and to prescribe radiation for x-ray, CT and to request MRI and ultrasound scanning.To act as a source of expertise on the management of sarcoma patients for primary and secondary health care professionals.The post holder will be a clinical expert in the field of sarcoma and have the skills necessary to lead in practice development and innovation, with specific regard to the development of autonomous nursing practice and nurse led services.Work collaboratively and autonomously with authority, using expert knowledge and skills to help design and deliver services across organisational, professional and geographical boundaries.The role will include substantive direct patient care, role modelling, mentorship, supervision and education and facilitation of others to equip nurses for role expansion.About usThis post is based at RNOH which is part of the London Sarcoma Service which provides multidisciplinary treatment and care for patients with bone and soft issue sarcomas. This vacancy would suit an experienced, qualified Nurse who is looking to work within a highly specialised cancer service. Support, supervision and training opportunities will be provided to enable the post holder to develop expertise in this field.This post will deliver an advanced level of clinical practice within the field of cancer. Working with the local and nationally agreed frameworks, the Advanced Nurse Practitioner (ANP) will exercise independent judgment to assess, investigate, diagnose, plan, implement and evaluate the clinical care and management of patients within their specialist field of practice.The ANP has key working relationships will all members of the medical, nursing and multi-disciplinary and department management teams.The post holder will practise in partnership with the multi-disciplinary team under the clinical supervision provided by a department Surgical Consultant and Consultant Nurse.Job descriptionJob responsibilitiesMAIN DUTIES:ClinicalTo be professionally and legally responsible and accountable for all aspects of own work including the management of patient care. To ensure a high standard of clinical care for the patients working within a competency framework for Advanced Practice.To develop and maintain skills required to practice at an advanced level including the use of an extended scope of practice (referral for further investigations, x-rays, MRIs and CTs and blood tests.To maintain high levels of clinical skill including administration of medications e.g. Denosumab.To communicate with and provide highly specialist advice and training to health care professionals on the management of sarcoma patients to ensure a co-ordinated and seamless service.To accept clinical responsibility for a designated caseload, and to organise this effectively and efficiently with regard to clinical priorities and use of time.To undertake nurse led diagnostic clinics for urgent referrals to the Sarcoma Service for patients with suspected cancer referred on a two week wait pathway by their GP.To undertake nurse led follow up clinics, reviewing patients on sarcoma surveillance and post-surgery and oncology treatmentUndertake an autonomous comprehensive advanced assessment and triage of highly complex patients referred. Perform physical examination, interpret clinical findings, impart sensitive information/bad news to patients &/or relatives, and refer onto and liaise with appropriate members of Multidisciplinary Teams (MDT) in the Trust, and to clinicians in other Trusts or Community as necessary.Deal with highly complex and sensitive information and be able to communicate this information in a kind and caring, sensitive manner to patients and their family. This will require skills of explanation, motivation and persuasion to overcome physical, emotional, mental and cultural barriers.Be able to demonstrate advanced empathetic interpersonal and communication skills when dealing with patients and carers throughout the patient pathway.Maintain and promote effective communication with all members of the multi-disciplinary team and other wards and departments. Actively work towards improving communication through role modelling within members of the multi-disciplinary team.To liaise with members of the Primary Care Trust when relevant.Act as an advocate for the patient and their family enabling them to express their needs effectively when dealing with the multi-disciplinary team.Demonstrate a high level of written report writing, face to face speaking and use of electronic systems including ICE, NoteOn, iCS, PACS and Insight to enhance the advance practitioners skills in all forms of documentationTo maintain accurate, comprehensive, timely and up-to-date documentation in line with departmental and professional standards, including communication of assessment and investigation results to appropriate disciplines in the form of reports and letters.To provide spontaneous and planned advice, teaching and instruction to patients, relatives, carers and other professionals from the multidisciplinary team to ensure a consistent approach to patient care.Act as a resource to all members of multi-professional teams across the region in the acute and primary care settings giving advice and guidance on the management of sarcoma ensuring a seamless, high-quality serviceProfessionalTo maintain own continued professional development (CPD) and portfolio, by keeping abreast of any new trends and developments, incorporating them into current clinical practice as necessary. To support CPD for other members of the Multidisciplinary teaRemain up to date with, and attend mandatory training provided, in line with Trust policiesTo be an active member of the MDT teaching programme by organising, attending and teaching at tutorials, training sessions and external courses.Work in collaboration with the Lead Cancer Nurse to ensure the integration of education, research and practice developmentTo undertake evaluation of work and current practices within sarcoma involving the use of evidence based practice, audit, research, and outcome measuresTo demonstrate a sound understanding of risk management and apply to work situation, following department and Trust policy.To provide clinical experience and supervision for postgraduate and undergraduate medical and nursing students as requiredIdentify, assess and demonstrate specialist educational strategies. Convey complicated plans of care and treatment to patients and relatives by using an honest, assertive and empathetic approach, when describingWork collaboratively on educational tools for patients, carers and other health care professionals, ensuring these are up to date and evidence basedPromote patient autonomy through education and support to enable the individual to make informed choices about their own careProvide clinical supervision for colleagues on request and receive clinical supervision.In collaboration with the Lead Cancer Nurse contribute to educational programmes provided within the trust and teach on graduate and undergraduate programmes in local universities.Organisational and ManagerialProvide leadership and act as a role model within the clinical setting, demonstrating expert knowledge and high standards of clinical practiceAct as a clinical resource for the development of the Sarcoma ServiceAct as a role model and clinical expert, providing evidence based practice for staff and members of the multidisciplinary team in relation to Sarcoma CareDevelop evidence based clinical guidelines, protocols and policies liaising with the MDT as neededContribute to the development of service standards with the Lead Clinician and Clinical Director and audit performance against these standardsParticipate fully as a team member, sharing knowledge at presentations, audit meetings and Schwartz rounds and supporting colleagues, including support staff, to promote a cohesive team across departments to allow the achievement of team objectivesBe aware of the Health and Safety at Work Act and its implementation including equipment and prompt reporting of incidents and accidents in line with trust procedureLead on, and effectively investigate, complaints, incidents, root cause analysis and serious incidents in line with Trust policy and procedure on requestContribute to the development and maintenance of a positive learning environment for colleagues, patients and visitorsParticipate in the development and co-ordination of operational and strategic planning for the delivery of the Sarcoma Service within the Trust in conjunction with the Service Clinical Director and lead cancer nurseRepresent the Trust by attending relevant meetings and other events at local, Network and National LevelIn collaboration with the Lead Cancer Nurse support the peer review processPlay a key role in enabling the Trust to meet its strategic objectives for cancer services and National Service FrameworksWork strategically and across traditional boundaries to produce effective patient-focused services and manage demands on the service.To network with other CNS within the specialist service throughout the UK, joining the appropriate organisations in order to collaborate, share and benchmark practices and initiativesParticipate in raising the profile of the unit and the Trust by means of networking, publication and conference presentation.This job profile is not a definitive or exhaustive list of responsibilities but identifies the key responsibilities and tasks of the post holder. The specific objectives of the post holder will be subject to review as part of the Appraisal and Development Plan process.Person SpecificationExperienceEssentialEstablished leadership skills ?Excellent communication and interpersonal skills ?Excellent practical skills and organisational abilities ?Proactive in approach to developing services ?Management Experience ?Relevant experience at band 6 in associated speciality. ?Experience of developing and delivering teaching programs in your speciality ?Has worked as a member of Multi-professional team within the speciality ?Evidence of involvement in benchmarking and audit of services.DesirableIntroducing new services and methods of practiceSkill & AbilitiesEssentialDemonstrate effective leadership skills ? Excellent communication and interpersonal skills ? Excellent practical skills and organisational ability. ? Resource management ? Ability to understand and present budgetary data. ? Ability to Innovate and motivate others. ? Demonstrates previous nursing development initiatives within other roles.DesirableExperience of running Nurse Led Clinics ?Advanced IT skills ?X-ray referral and interpretation ?Computer literacy, to include administration systems and spreadsheets. ?Presentation skills. ?Analytical skills.KnowledgeEssentialChange management track record Knowledge of clinical governance, risk management and diversity issues NHS organisation. ?Current national nursing issues ?Able to evidence and track record of continual professional development within your speciality. ?Working knowledge of clinical governance.DesirableAnticipated pathway of career and personal development. Research methods. ?Knowledge of education and training issues ?Clinical Audit, Data collection and recording ?Research processesPersonal CharacteristicsEssentialPleasant disposition and professional approach to work at all levels of the organisation in line with RNOH Trust Values ?Understands the requirement to work within own professional scope ?Flexible approach to work to meet the needs of the service ?Team player who can work alone under own initiative ?Eagerness to learn and develop ?Team worker ?Mature attitude. ?Flexible in working practice. ?Sensitivity to the needs of patients with tissue viability, orthopaedic and spinal related problems. ?Ability to consciously act as a role model. ?Self-motivating and innovative - able to motivate others. ?Able to deal with multiple issues at one time. ?Self-insight.DesirableAptitude to deal with patients/the public face to face with a considerate and confident manner ?Experience of communicating complex information to patients and staffQualificationsEssentialProfessional Healthcare Registration RGN/RN ?First Degree Or on Degree pathway ?Evidence of ongoing professional development within the speciality ?Recognised teaching/mentorship qualification ?Advanced Clinical Assessment course or equivalentDesirableMaster's Degree related to area of work or working towards ?Management qualification ?Leadership qualification ?IRMER radiology requesting ?Non-medical prescribingDisclosure and Barring Service CheckThis 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.Certificate of SponsorshipApplications from job seekers who require current Skilled worker sponsorship to work in the UK are welcome and will be considered alongside all other applications. For further information visit the UK Visas and Immigration website (Opens in a new tab).From 6 April 2017, skilled worker applicants, applying for entry clearance into the UK, have had to present a criminal record certificate from each country they have resided continuously or cumulatively for 12 months or more in the past 10 years. Adult dependants (over 18 years old) are also subject to this requirement. Guidance can be found here Criminal records checks for overseas applicants (Opens in a new tab).UK RegistrationApplicants must have current UK professional registration. For further information please see NHS Careers website (opens in a new window).Employer detailsEmployer nameRoyal National Orthopaedic Hospital NHS TrustAddressRNOHLondonHA7 4LPEmployer's websitehttps://www.rnoh.nhs.uk/ (Opens in a new tab)