AOS Advanced Nurse Practitioner or Senior Nurse

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King's College Hospital NHS Foundation Trust is one of the UK's largest and busiest teaching Trusts with a turnover of c£1.7 billion, 1.5 million patient contacts a year and more than 15,000 staff based across 5 main sites in South East London. The Trust provides a full range of local hospital services across its different sites, and specialist services from King's College Hospital (KCH) sites at Denmark Hill in Camberwell and at the Princess Royal University Hospital (PRUH) site in the London Borough of Bromley.

Job overview

The post holder will demonstrate a high level of expertise within the oncology specialist service providing advice, education and support to staff, patients, their families and carers. The post holder will be practising autonomously as an advanced clinical practitioner within Acute Oncology Service (AOS) to provide patient-centred clinical care. This will encompass the skills of advanced clinical assessment, history taking, examination, synthesising information gathered and using clinical reasoning to diagnose and formulate a shared management/personalised care/support plan within an agreed scope of practice throughout the directorate. The post holder will ensure that patients presenting with metastatic malignancy of unknown origin (MUO) have access to rapid expert oncology input to avoid unnecessary, inappropriate investigations; are discussed in an MUO MDT; and receive rapid treatment for their disease and/or symptom control decisions. The post holder will be expected to monitor the impact of the Acute Oncology Service, using a number of key metrics including length of stay; and work with the Lead Acute Oncology Clinician to ensure the Acute Oncology Service meets the Quality Standards and South East London Cancer Alliance SELCA guidance/safety measures. This will be of a demonstrably high standard; and will influence patient care through expert clinical practice, management, leadership, education research, audit and professional activities.

Main duties of the job

• Work autonomously as an advanced practitioner within acute oncology, managing a caseload of patients and delivering individualised direct patient care.
• Direct responsibility for assessment, examination, investigation and diagnosis of patients presenting with complications of cancer, treatment or new diagnoses of cancer
• Appropriately advise the admitting team about treating patients, resulting in the safe management
• Receive referrals via a variety of sources, including direct patient referrals.
• Participate in multidisciplinary clinics, participate in ward rounds, patient reviews and multidisciplinary team meetings
• Work within and across multi-professional teams and draw on the expertise of all members
• Undertake a variety of clinical skills and provide treatment/ advice as per the acute oncology guidelines and scope of practice.
• Within the scope of practice and clinical competence request diagnostic procedures and clinical investigations related to plans of care
• Utilise scope of practice to undertake a Non-Medical Prescribing role and provide advice on medicine management issues associated with the patient speciality group. Work within Trust policy for Medicines Management
• Utilise advanced knowledge and skills relating to the speciality to provide specialist advice to other members of the multidisciplinary team on the basis of patient assessment.

Working for our organisation

King's College Hospital NHS Foundation Trust is one of the UK's largest and busiest teaching Trusts with a turnover of £1 billion, 1.5 million patient contacts a year and more than 15,000 staff based across South East London. The Trust provides a full range of local and specialist services across its five sites. The trust-wide strategy of Strong Roots, Global Reach is our Vision to be BOLD, Brilliant people, Outstanding care, Leaders in Research, Innovation and Education, Diversity, Equality and Inclusion at the heart of everything we do. By being person-centred, digitally-enabled, and focused on sustainability, we aim to take Team King's to another level.

We are at a pivotal point in our history and we require individuals who are ready to join a highly professional team and make a real, lasting difference to our patients and our people.

King's is committed to delivering Sustainable Healthcare for All via our Green Plan. In line with national Greener NHS ambitions, we have set net zero carbon targets of 2040 for our NHS Carbon Footprint and 2045 for our NHS Carbon Footprint Plus. Everyone's contribution is required in order to meet the goals set out in our Green Plan and we encourage all staff to work responsibly, minimising their contributions to the Trust's carbon emissions, waste and pollution wherever possible.

Detailed job description and main responsibilities

Clinical Responsibilities:

- Work autonomously as an advanced practitioner within acute oncology, managing a caseload of patients and delivering individualised direct patient care.

- Direct responsibility for assessment, examination, investigation and diagnosis of patients presenting with complications of cancer, treatment or new diagnoses of cancer

- Appropriately advise the admitting team about treating patients, resulting in the safe management and appropriate referral or discharge of patients with undifferentiated and undiagnosed presentations.

- Receive referrals via a variety of sources, including direct patient referrals.

- Manage own caseload and clinical priorities according to agreed protocols and working practices.

- Participate in multidisciplinary clinics, participate in ward rounds, patient reviews and multidisciplinary team meetings

- Work within and across multi-professional teams and draw on the expertise of all members (including health and social care) to support and meet the patient's needs and best interests to optimise the integration of their care.

- Undertake a variety of clinical skills and provide treatment/ advice as per the acute oncology guidelines and scope of practice. Using agreed protocols of clinical practice and professional guidelines.

- Within the scope of practice and clinical competence request diagnostic procedures and clinical investigations related to plans of care

- Utilise scope of practice to undertake a Non-Medical Prescribing role and provide advice on medicine management issues associated with the patient speciality group. Work within Trust policy for Medicines Management

- Utilise advanced knowledge and skills relating to the speciality to provide specialist advice to other members of the multidisciplinary team on the basis of patient assessment.

- Provide a seamless, high-quality service from referral through to assessment, diagnosis, treatment and review, referring to other specialists as required. Provide guidance to staff, patients and their families and carers on pathway navigation

- Use highly developed communication skills to effectively communicate with colleagues, patients and their relatives/carers, making reports and liaising as required with medical staff and other members of the multidisciplinary team both verbally and in writing.

- Establish and maintain effective communication to ensure collaborative working with other professionals and agencies (e.g. members of the MDT, CNS, specialist palliative care, hospice, community palliative care teams, primary care, AHP, cancer centre, social services ) to ensure seamless, streamlined patient care.

- Use professional judgment to act as an advocate for patients to ensure a patient-focused approach to the delivery of care. Support and enable patients and carers to make informed decisions relating to their treatment and management. Escalate any concerns via the nursing / professional structures as required

- Manage and escalate medical emergencies appropriately.

- Identify and act appropriately on red flags.

- Manage medical complexity.

- Complete episodes of care which may include referral for further assessment, treatment and care.

- Work towards safe and timely discharge and/ or transfer of care of patients from or between hospitals and services and healthcare professionals, ensuring barriers to discharge/transfer are identified and acted upon appropriately.

- Work with people and where appropriate, carers, to access appropriate treatment, diagnostics, care and support within the context of individuals' preferences, priorities and needs.

- Provide continuity of care in collaboration with the person, considering all of their physical, mental and psychosocial challenges.

- Use interactions with each person to facilitate and enable changes in behaviour that can have a positive impact on the person's health and well-being.

- Ensure effective and accurate verbal or written handover of patients between healthcare professionals

- Ensure that high standards of all documentation are maintained, with accurate, complete and up-to-date information regarding patient care kept by Trust standards.

- Monitor the quality and standard of care provided by all members of the team and all staff in clinical areas. Identifying any skills or training gaps and escalating to the appropriate Senior Nurse or Matron.

- Undertake training to develop further advanced clinical practice roles required by the service to provide a high standard of patient care.

- Practice within the scope of professional registration (i.e. NMC, HCPC)

Person specification

Personal Specificationes

Essential criteria

• Trained to MSC qualification
• Advanced Physical Assessment Skills
• Non-Medical Prescribing
• Chemotherapy training qualifications
• Acute Clinical Practice
• Mentorship qualification
• Experience in service development and implementation of change
• Experience in teaching and assessing in a variety of clinical environments

IMPORTANT

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• If you delete the job from any of your accounts, you may be prevented from accessing further communications
• To enquire about your application or inform us of any changes in your circumstances, please contact the named person on this advert
• Please provide email addresses for referees where possible
• Click here to see the range of benefits we offer
• Please review the documentation on our recruitment microsite, particularly the Trust's criminal records checking policy
• All staff have a responsibility for safeguarding children and vulnerable adults and for ensuring they are aware of the specific duties relating to their role.
• Due to a high volume of applications, this advert might close before the displayed closing date. It is therefore recommended that you apply promptly

King's College Hospital NHS Foundation Trust Annual Reports and Other Corporate Publications

King's Health Partners Academic Health Science Centre Website

King's College Hospital is part of King's Health Partners Academic Health Sciences Centre (AHSC), a pioneering collaboration between King's College London, and Guy's and St Thomas', King's College Hospital and South London and Maudsley NHS Foundation Trusts.

Employer certification / accreditation badges

Applicant requirements

You must have appropriate UK professional registration.

The postholder will have access to vulnerable people in the course of their normal duties and as such this post is subject to the Rehabilitation of Offenders Act 1974 (Exceptions) Order 1975 (Amendment) (England and Wales) Order 2020 and as such it will be necessary for a submission for Disclosure to be made to the Disclosure and Barring Service to check for any previous criminal convictions.

Documents to download

• AOS B8a (PDF, 376.4KB)
• Denmark Hill Site Map (PDF, 1.2MB)
• Princess Royal (PRUH) Site map (PDF, 1.4MB)
• Visa and Sponsorship Information (PDF, 352.6KB)