Advanced Nurse Practitioner

Job summary

A fundamental part of the ANP role will be to undertake routine advanced physical assessment of the day care SACT patients including assessing these patients prior to each treatment using thorough history taking, clinical examination, arranging relevant investigations ( blood tests, radiographs), prescribing SACT and other supportive medications.

The ANP will also have skills in the early detection and intervention of clinical deterioration in existing or new medical conditions.

The post is intended to provide improved outcomes for patients by improving services and quality. You will be expected to exercise a high degree of personal professional autonomy and make critical judgements to satisfy the expectations and demands of the role working within the guidelines of agreed clinical protocols.

It is essential that you are currently a Registered Nurse with the NMC and you will be required to have extensive post registration experience in oncology / haematology care.

The post holder will ideally have completed an MSc in advanced clinical practice however applications will be considered from suitable candidates who have commenced the level 7 pathway and be willing to continue level 7 studies towards a qualification in advance practice.

Applicants must hold a minimum of degree and ideally a clinical examination course. Non-medical prescribing is key part of the role and participants without this qualification must be willing to undertake.

Main duties of the job

• Clinical leadership to the nursing teams, maintaining credibility through practice and provide a high quality and safe patient service, which exceeds patient expectations.
• Routine management of the day care patients assessing them for systemic anti-cancer treatments (SACT) and supportive therapies.
• Using advanced clinical decision making and assessment skills, prompt treatment plans or referrals will be initiated to effectively manage acute and chronic cancer-related complications and / or toxicities from systemic anti-cancer treatments and / or radiotherapy.
• Assess and appropriately manage unwell and deteriorating patients to stabilise and transfer patients appropriately.
• Telephone triage of patients reporting side-effects / complications.

About us

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.

Job description

Job responsibilities

For further information on this role, please see the attached detailed Job Description and Person Specification

• The ANP will undertake routine advanced physical assessment of the day care SACT patients including assessing these patients prior to each treatment using thorough history taking, clinical examination, arranging relevant investigations ( blood tests, radiographs), prescribing SACT and other supportive medications, and arranging appropriate follow up, when necessary.
• Presenting and attending PPMDU Consultant rounds preparing SACT clinic and Outpatient lists in conjunction with the team.
• To provide support and advice to nursing, medical and allied health professionals therapy staff in relation to the management of the SACT patient.
• To provide support and advice to patients and their carers relating to their chemotherapy and any procedures.
• To obtain informed consent from patients prior to starting their first chemotherapy cycle and ongoing cycles.

Person Specification

Education / Qualifications

Essential

• Registration (NMC)
• Diploma or Degree level study (or equivalent)
• Evidence of ongoing professional development
• Physical assessment skills module
• Qualification in oncology or Post Graduate equivalent
• SACT passport or equivalent recognised chemotherapy module

Desirable

• ILS / ALS
• Recognised teaching qualification
• Leadership qualification
• Experience in accreditation processes
• Qualification in non-medical prescribing
• Master's degree in Advanced Practice

Experience

Essential

• Significant post registration nursing experience in oncology or speciality to be confident and competent in using the required skills to do the job.
• Recognised Advanced Nurse Practitioner skills including advanced assessment skills, electing and recommending appropriate diagnostic and therapeutic management.
• Excellent understanding and experience in the recognition and management of oncological emergencies
• Current experience in managing the deteriorating oncology patient, including the safe transfer of patients
• Experience in a large complex organisation and / or NHS
• Knowledge of the Acute Oncology Service and related DH guidelines.
• Good understanding of the clinical and non-clinical aspects of an International service model
• Experience of change initiatives within and operational and clinical team
• Experience of managing projects involving clinicians and track record of successful engagement with clinical leaders

Skills Abilities / knowledge

Essential

• Evidence of effective interpersonal skills with particular ability to liaise with multidisciplinary team members
• Ability to make decisions, prioritise and work under pressure.
• Knowledge and understanding of quality issues
• Evidence of understanding the national policy
• Computer Literacy (eg : Microsoft Word and Outlook)
• Able to lead Root Cause Analysis investigations to facilitate staff in identifying and embedding areas for improvement in the provision of high quality and safe care
• Able to manage multiple and complex projects including tracking of plans and actions
• Able to present confidently and persuasively to small and large groups
• Able to present complex information appropriately to the Trust's Governance Committees
• Ability to lead audit activities to assess and monitor the quality of care. Implement change based on the findings.
• Excellent organisational skills
• Excellent written and verbal communication skills
• Able to work flexibly as part of a team cross all sites
• Highly proficient in the use of standard office software packages
• Ability to think innovatively in a work context
9 days ago