Detailed job description and main responsibilities

• Coordinate and monitor the patient's cancer journey from diagnosis through treatment and follow-up.
• Facilitate referrals for investigations, treatments and specialist services.
• Arrange and support follow-up cancer appointments after MDT discussions.
• Ensure timely communication with GPs and other healthcare providers, including serious diagnosis notifications

• Act as the key worker for patients diagnosed with urological malignancies, providing continuity of care throughout the patient's cancer pathway.
• Coordinate patient journeys from diagnosis through treatment, follow-up, surveillance and survivorship.
• Ensure timely access to investigations, multidisciplinary team (MDT) discussions, treatment planning and appointments.
• Liaise effectively with urologists, oncologists, radiologists, chemotherapy services, primary care teams and allied health professionals to facilitate seamless patient-centred care.
• Attend and actively contribute to Patient Tracking List (PTL) meetings and cancer pathway meetings, ensuring timely progression of patients through diagnostic and treatment pathways.
• Monitor cancer waiting time pathways and escalate actual or potential breaches that may impact treatment delivery or patient outcomes.
• Communicate MDT outcomes and treatment plans to patients and relevant healthcare professionals in a timely manner.

Administration and Monitoring of Cancer Treatments

• Assess patients before treatment, identifying contraindications, treatment-related risks or concerns requiring medical review.
• Deliver and monitor agreed cancer treatments within scope of practice, competency and local governance frameworks, including:
  • Intravesical Bacillus Calmette-Guérin (BCG) therapy.
  • Intravesical Mitomycin-C chemotherapy.
  • Prostate cancer hormone therapy injections.
  • Nurse-led cancer treatment reviews where locally approved.
• Monitor patients for treatment-related toxicity, adverse reactions and complications, taking appropriate action as required.
• Provide treatment-specific education, counselling and informed support to patients and carers.

Treatment Follow-up and Toxicity Management

• Provide specialist telephone advice and support for patients receiving cancer treatments.
• Assess, triage and manage treatment-related symptoms and side effects in collaboration with medical and oncology colleagues.
• Escalate concerns relating to treatment toxicity, sepsis, disease progression, treatment intolerance or psychological distress.
• Coordinate surveillance investigations, follow-up appointments and treatment reviews following completion of therapy.
• Ensure patients receive timely referral to appropriate support services when required.

Nurse-Led Clinics

Manage autonomous and consultant-supported clinics including:

• Newly diagnosed urological cancer patients.
• Patients receiving active cancer treatment.
• Prostate cancer hormone therapy monitoring and review.
• Surveillance and follow-up clinics.
• Holistic Needs Assessments (HNA).
• Personalised Care and Support Planning (PCSP).
• Supported self-management and survivorship pathways.
• Cancer Care Reviews in collaboration with primary care services.

Renal Cancer and Nephrostomy Service Support

• Support Band 7 Clinical Nurse Specialists in the management of renal cancer pathways and complex urology patients.
• Assist in the assessment, review and ongoing management of patients with nephrostomies, ensuring complications are promptly identified and escalated.
• Undertake nephrostomy dressing changes and associated care following completion of agreed competency assessments and in accordance with Trust policies and local procedures.
• Participate in patient education relating to nephrostomy care and ongoing symptom management.
• Contribute to service delivery across renal and cancer pathways to ensure safe, effective and timely care.

Governance, Quality Improvement and Service Development

• Participate in cancer MDT meetings and contribute specialist nursing expertise to treatment planning and decision-making.
• Maintain accurate cancer pathway tracking data and support achievement of national cancer standards and targets.
• Participate in audit, quality improvement, service development, research and service transformation initiatives relating to urological cancer services.
• Contribute to Systemic Anti-Cancer Therapy (SACT) governance processes and ensure compliance with Trust policies and national guidance.
• Support the development, implementation and evaluation of evidence-based pathways, standards and standard operating procedures.
• Maintain professional competence through continuing professional development and participation in relevant training programmes.
• Provide emotional, psychological and practical support following a cancer diagnosis.

   

   

• Signpost patients to Macmillan, financial advice services, support groups and community resources.

   

  Develop and review patient information leaflets and educational resources.

  Provide information prescriptions and support informed decision-making
• Act as a specialist resource for ward and outpatient staff.

   

• Provide education and training to nursing and multidisciplinary colleagues.

   

• Support service development and implementation of cancer care pathways.

  Maintain specialist knowledge through continuing professional development.