Job summary
- Main area
- Cancer Family History, genetics, Colorectal, Breast
- Grade
- Band 7
- Contract
- Permanent
- Hours
- Part time - 15 hours per week
- Job ref
- 197-UT4776
- Employer
- Lewisham and Greenwich NHS Trust
- Employer type
- NHS
- Site
- Queen Elizabeth Hospital
- Town
- London
- Salary
- £43,742 - £50,056 per annum plus HCAS pro rata
- Salary period
- Yearly
- Closing
- 06/05/2024 23:59
Employer heading
Cancer Genetics and Family History CNS
Band 7
Lewisham and Greenwich NHS Trust, (LGT), is a community-focused provider of local and acute care, delivering high-quality services to over one million people living across the London boroughs of Lewisham, Greenwich, and Bexley. We provide whole-life care and are here to support our communities to live healthier lives as well as taking care of them when they need us the most.
Employing almost 7,500 colleagues, affectionately known as Team LGT, we provide services at Queen Elizabeth Hospital in Woolwich, University Hospital Lewisham, and at over a dozen community settings in Lewisham. We also provide some services at Queen Mary’s Hospital in Sidcup.
We have recently launched our new vision and values to mark the LGT10 – the tenth anniversary of our Trust forming in 2013. Our trust vision is to be exceptional. In the quality of our patient care; our support for colleagues; and in the difference we make through our partnerships and in our communities.
To achieve this we value Respect, Compassion, and Inclusion; Being accountable over staying comfortable; Listening over always knowing best; and Succeeding together over achieving alone. You can read more about our visions and values here
Our hospitals and community sites provide a wide range of inpatient and outpatient services, as well as emergency and planned care. The Trust is rated as “good” or “outstanding” in over three-quarters of the services inspected by the Care Quality Commission.
Every year our work includes performing 10,000 procedures in our theatres; bringing seven and a half thousand new lives into the world; carrying out 570,000 visits to patients in their homes or communities and providing emergency care for more than 300,000 patients arriving in our busy Urgent and Emergency Departments.
LGT is a centre for the education and training of medical students enrolled with King’s College London’s GKT School of Medical Education. We are a training centre for nurses, midwives and allied health professionals. We are pioneering new roles that will support the changing needs of our patients and are one of the largest employers of physician associates in the country.
We are committed to working with our partners to deliver the best outcomes for our local communities. This means playing an active role in the South East London Integrated Care System (ICS), and in formal partnerships including the South East London Acute Provider Collaborative, provider partnerships with our local mental health trusts and borough-based boards of the ICS in Bexley, Greenwich and Lewisham.
Job overview
An exciting opportunity has arisen for a part-time Clinical Nurse Specialist to develop a genetics mainstreaming and Family History assessment service in breast and colorectal.
The role will work closely with both the breast and colorectal MDT. The post will be based at the Queen Elizabeth Hospital site of Lewisham and Greenwich NHS Trust and required to travel to the University Hospital Lewisham site as needed.
We are looking for an experienced CNS who is experienced in cancer family history risk assessment and is looking to specialise in genetics mainstreaming.
To apply candidates should have experience in family history assessment in either breast or colorectal.
We require someone who can work both autonomously and as part of a team and the ability to work in partnership with all members of the multi-disciplinary team is essential.
The post holder has opportunity to develop the service in response to the needs of the patient population at Lewisham and Greenwich NHS Trust utilising a variety of modalities for assessment including telephone, video and face to face appointments as well as other innovative ways of working to ensure the service is equitable and fully inclusive.
Main duties of the job
The successful applicant should have demonstrable experience of working autonomously to manage a clinical caseload.
The post holder will have a key role in the implementation of Genemics for Family History is part of the national commissioning service specification
Lewisham and Greenwich NHS Trust is a cancer unit. The post holder will be the key worker for patients referred for family history assessment in breast and colorectal services will be expected to work closely with colleagues at the cancer centre, where required.
The successful candidate will be responsible for undertaking cancer risk assessments, sharing health promotion and awareness information as well as onward referral to screening and genetic assessment services as required.
The post holder will run independent clinics supporting both the breast and colorectal MDT.
Working for our organisation
Our people are our greatest asset. When we feel supported and happy at work, this positivity reaches those very people we are here for, the patients. Engaged employees perform at their best and our Equality, Diversity & Inclusion (EDI) initiatives contribute to cultivate a culture of engagement. We have four staff networks, a corporate EDI Team and a suite of programmes and events which aim to insert the 5 aspirations:
- Improving representation at senior levels of staff with disabilities, from black, Asian, and ethnic minorities background, identify as LGBTQ+ and women, through improved recruitment and leadership development
- Widening access (anchor institution) and employability
- Improving the experience of staff with disability
- Improving the EDI literacy and confidence of trust staff through training and development
- Making equalities mainstream
Detailed job description and main responsibilities
Job Summary:
In line with the Trust’s Annual Business Plan you will provide a high quality advanced expert nursing practice and cost-effective service to patients requiring routine and emergency care, from outpatients, pre-admission through to discharge and review at home.
The Division aims to provide an environment conducive to the on-going development of all staff and advancements in the quality of the service by ensuring provision of a high standard of training, teaching and clinical care within the acute/community setting.
To provide clinical support carrying out independently or assisting with interventional/investigational procedures in which full training has been undertaken based on clinical practice standards.
The Clinical Nurse Specialist will be an advanced and experienced practitioner within their speciality.
The role of Clinical Nurse Specialist requires a high degree of personal professional autonomy and making clinical judgements. Taking sole and joint responsibility for the patient and procedure during diagnostic and therapeutic interventional procedures to ensure a successful patient based outcome within the acute setting, which will require assessment, planning and implementation of treatment.
To give advice and guidance both to Consultants and other speciality professionals on interventional procedures and clinical practice.
To be responsible for the nursing leadership within the specialty and giving support and guidance within the multidisciplinary team, contributing to the high quality care given to patients, in accordance with clinical governance. The postholder will ensure delivery and expansion of an expert and advanced nurse-led service through effective interdisciplinary care, utilising clinical and managerial expertise, which will include a review of the effectiveness of treatment.
Key Result Areas & Performance:
All the following are to be carried out while working in close collaboration with members of the multi-disciplinary team led by a Consultant. To demonstrate clinical expertise within the speciality and work autonomously, managing own allocated clinics independently and seeking guidance/support when necessary.
- To co-ordinate the specialty care within the Trust, including outreach clinics within the region.
- To become an essential member, and point of contact and resource for the multi-disciplinary team and patients and carers.
- Carries out diagnostic/therapeutic interventions as an independent practitioner, interprets, writes reports and commences further possible treatment on the basis of the findings.
- Carries out complex therapeutic/investigational procedures under indirect supervision of the Consultant. Ensuring that they are carried out using safe practice and under agreed guidelines/protocols to ensure that the highest possible standard is obtained based on competent clinical practice.
- To demonstrate the ability to develop new skills, to provide an expert high quality, nurse-led service.
- To provide ongoing follow-up care and support (home visits / telephone support / nurse/midwife led clinics / outpatient clinics and outreach clinics)
- To develop the service in a structured interdisciplinary way, initiating on-going change and progression in the expanding role of a Clinical Nurse Specialist/Specialist Midwife.
- To develop interdisciplinary clinical management protocols and work within them.
- Autonomously or in collaboration with the multidisciplinary team, manage the care of patients carrying out relevant interventions, within agreed clinical protocols and in line with current practice/trends.
- To offer a supportive service to patients and their carers, disseminating specialist knowledge enabling individuals to try and adapt to any changes to their body image and life experiences. Liaising with other healthcare professionals when necessary.
- To provide, promote and maintain a support and advice service to patients and their carers, to include provision of information giving from diagnosis through to all stages of the disease process, in liaison with relevant healthcare professionals.
- To maintain accurate and legible records of all clinical and legal documentation with regard to Statutory and Trust policies.
- To assess, develop, implement and evaluate programmes of care within the acute and community setting
- To control patient admission via direct referral and with consultant guidance and supervision.
- Be aware of, understand, and act upon the Divisional Business Plan, with particular reference to nursing care, in order to participate in the re-formulation of nursing aspects of the plan.
- When required, investigate the nursing aspects of incidents/complaints and initiate corrective action.
Person specification
Qualifications and Training
Essential criteria
- • MSc level learning
- • RN / RM – Part 1
- • Relevant specialist course or similar - family history assessment/genetics
- • In-depth knowledge of anatomy related to cancers - breast/colorectal
- • Knowledge of conditions, management and treatment of cancer
Desirable criteria
- • Knowledge of quality standards in cancer - genetics
- • Counselling course
Experience
Essential criteria
- • Senior clinical experience within their speciality - family history/genetic counselling
- • Experience in Practice Guideline Development
- • Evidence of clinical leadership qualities
Desirable criteria
- • Caseload management
Knowledge
Essential criteria
- Excellent verbal, written and interpersonal communication skills
- Counselling skills
Desirable criteria
- Change management
Personal qualities
Essential criteria
- Maturity and self-awareness
- Sensitivity based on knowledge
- Evidence of clinical leadership qualities
- Committed to collaborative working
Employer certification / accreditation badges
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Applicant requirements
You must have appropriate UK professional registration.
This post is subject to the Rehabilitation of Offenders Act 1974 (Exceptions) Order 1975 (Amendment) (England and Wales) Order 2020 and it will be necessary for a submission for Disclosure to be made to the Disclosure and Barring Service.
Documents to download
Further details / informal visits contact
- Name
- Claire Coughlan
- Job title
- Nurse Consultant - Colorectal
- Email address
- [email protected]
- Telephone number
- 020 8333 3000
- Additional information
Please email Claire Coughlan Nurse Consultant - Colorectal [email protected] to discuss this role in more detail
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