Paediatric Solid Tumour Clinical Nurse Specialist

The post holder will work as part of the solid tumour core team, acting as a key worker. They will have oversight of all patients diagnosed with solid tumours (excluding brain tumours) to co-ordinate their care with POSCU colleagues as well as external services at supra centres (photon and proton beam therapy, liver and retinoblastoma services). The post holder will provide clinical support and continuity of care to children and support families from diagnosis as part of an multi-disciplinary team and support transitioning patients into the aftercare service.,

• Use their expert knowledge and clinical judgement to decide whether to refer patients for investigations and discuss potential or make diagnoses with members of the wider MDT.


• Decide on and carry out treatment, which may include advice on the prescribing of medicines (if a qualified non-medical prescriber, within their scope of practice), advice patients and related health care professionals on MDT recommendations or referring patients to an appropriate specialist.


• Assess individuals, families and populations holistically using a range of different methods, some of which may not be usually exercised by nurses such as Holistic needs assessments, history taking, ordering, and interpreting diagnostic tests or specialist health needs assessments.


• Ensure the provision of continuity of care.


• Assess and evaluate, with patients and /or carers, the effectiveness of the treatment and care provided and make changes as needed.


• Work autonomously within a wider health care team and as a lone practitioner.


• Work across professional, organisational and system boundaries and proactively develop and sustain new partnerships and networks to influence and improve health, outcomes, and healthcare delivery systems.


Clinical Practice:

Specialist Nurses will:

• Work at a highly specialised level, practicing autonomously as well as within a multi-disciplinary team and are self-directed.


• Work clinically to optimise health and wellbeing, demonstrate autonomous decision making related to comprehensive history taking and physical assessment of patients, working within defined protocols and competency frameworks and scope of practice.


• Work at a highly specialized level drawing on a diverse range of specialist knowledge in complex decision making to determine evidence-based therapeutic interventions, which may include advising the wider MDT.


• Plan, prioritise and manage complete episodes of care, working in partnership with others, delegating and referring as appropriate to optimise health outcomes and resource use, providing direct support to patients and clients.


• Act as key worker.


• Use professional judgement in managing complex and unpredictable care events.


• Draw upon an appropriate range of multi-agency and inter-professional resources in their practice.


• Appropriately define boundaries in practice.


• Promote a high standard of highly specialist nursing by initiating and coordinating the assessment, planning, delivery, and evaluation of the holistic needs of patients/families through evidence-based practice following agreed policies, protocols, and guidelines.


• Practice a high standard of communication including highly sensitive and complex information to develop and sustain partnership working with individuals, groups, communities, and agencies. Utilise evidence-based information through a variety of communication media.


• Maintain adequate patient documentation to NMC requirements for all patients seen and advice given in any practice setting and contribute to clinical activity/data collection as required.


Leadership/Management:

Specialist Nurses will:

• Collaborate with the multi-professional team to develop a shared vision of the service.


• Act as a role model and resource in expert clinical evidence-based practice.


• Work collaboratively with colleagues to develop effective documentation, pathways, protocols, and guidelines for care. Demonstrate a commitment to share expertise and disseminate information.


• Contribute to the development of the team and service, to continuously improve patient care.


• Participate in implementing national standards and frameworks at a local level.


• Network locally, regionally, nationally, and internationally and seek opportunities to develop the specialist role.


• Understand budgetary constraints and may be required to manage budgets.


• Use effective change management skills to initiate and implement service and practice development, making the best use of resources to improve practice and health outcomes.


• Participate in the selection, interviewing, appraisal, and professional development of team members.


• Line manage members of the team where appropriate.


• Maintain involvement and active input in multidisciplinary meetings and appropriate local bodies / forums to contribute to practice and service development.


• Develop and maintain strategic relationships with the paediatric oncology service ensuring seamless transition.


• Work towards shared patient information and protocols where able and provide an element of mutually agreed cross cover., Maintain, advance, and develop personal theoretical knowledge, high standards of clinical competence and professional development through ongoing self-education and attendance at relevant courses of study.


• Develop and maintain a peer network of support, information and learning with other nurse specialists at a local and National level.


• Maintain own professional portfolio.


• Contribute to the development and acquisition of specialist nursing knowledge and skills to enhance and extend the practice of other nurses and health care professionals within the service and beyond.


• Identify and address the educational needs of patients, families, carers, and staff involved in the delivery of this service.


• Ensure the provision of specialist expertise, support and education to community staff, schools, employers, and other agencies to facilitate continuity of care to represent the interest of the patients who have completed cancer treatment.


• Contribute to the teaching and support of students and other members of the multi professional team within relevant educational programmes.


• Provide an appropriate learning environment, including mentorship, coaching and preceptorship.


• Organise and contribute to relevant educational programmes and in house study days.


Improving quality and developing practice:

Specialist Nurses will:

• Coordinate and participate in ongoing service review and evaluation, including seeking and monitoring patient experience and outcomes.


• Participate in research / audit to generate new evidence in area of specialty.


• Evaluate clinical practice in relation to its evidence base and clinical effectiveness including policy and guidance.


• Identify areas of risk and poor quality, and address these through appropriate governance structures and forums.


• Participate and actively seek peer review in practice and sound evidence for assurance purposes.


• Have responsibility to ensure annual appraisal, agree objectives which reflect local and national service needs and develop personal development plans.


• Develop personal and professional knowledge through critical self-appraisal, clinical supervision, and networking with other health care professionals locally, nationally, and internationally.


• Advocate and contribute to a working environment that promotes continuous learning and development, evidence-based practice, and succession planning, as well as identifying learning opportunities at local and national levels.


• Have a high level of communication skills to enable the participation in the dissemination of practice through conferences and professional publications.


• Ensure statutory and mandatory training updates, as well as role /specialty updates are completed, and necessary records maintained.


• Develop links with local basic and translational research staff to support the ongoing investigation into late and long-term effects of cancer treatment.
  
  We are looking for experienced and motivated individuals to join our CNS team in 2 new Paediatric Solid Tumour CNS roles. We are looking for full and part time staff for an initial 2 year fixed term contract, Registered nurse


• Postgraduate level study (HEI level 7) or demonstrable post graduate level working evidenced via a continuous professional development portfolio


• First level degree (HEI level 6) in nursing, midwifery or equivalent


• Teaching/Assessment/Mentoring Qualification


Desirable criteria


• Registered Non-medical prescriber, Demonstrates Extensive Experience caring for Children and Teenagers with Cancer


• Demonstrates up to date knowledge and expertise cancer treatments and side effects


• Knowledge of the key professional issues and NMC guidelines relating to professional practice.


• Evidence of being able to work across organisational boundaries


• Experience of applying research evidence to clinical practice., Evidence of continuing professional development


• Previous experience of formal/informal teaching of patients and staff


• Demonstrates a clear vision of the role and service


• Ability to initiate, sustain and evaluate change


• Decision making skills


• Demonstrates skilled written and verbal communication skills, Ability to work flexibly to meet the needs of the service in conjunction with other members of the team


• Motivated, You must have appropriate UK professional registration.
  
  Oxford University Hospitals NHS Foundation Trust is one of the largest NHS teaching trusts in the country. It provides a wide range of general and specialist clinical services and is a base for medical education, training and research.


The Trust comprises of four hospitals - the John Radcliffe Hospital, Churchill Hospital and Nuffield Orthopaedic Centre in Headington and the Horton General Hospital in Banbury.

Our values, standards and behaviours define the quality of clinical care we offer and the professional relationships we make with our patients, colleagues and the wider community. We call this Delivering Compassionate Excellence and its focus is on our values of compassion, respect, learning, delivery, improvement and excellence. These values put patients at the heart of what we do and underpin the quality healthcare we would like for ourselves or a member of our family. Watch how we set out to deliver compassionate excellence via the OUH YouTube channel., Oxford is the Principal Treatment Centre for Children, Teenagers and Young Adults with Cancer who live in the Thames Valley Region. It is supported by a POSCU network comprising of Great Western Hospital, Bucks (High Wycombe and Stoke Mandeville), Royal Berkshire Hospital, Milton Keynes and Wexham Park. Kamrans Ward is a 9 bedded inpatient ward, with a dedicated daycare space based within the Children's Hospital at the John Radcliffe Site., Oxford University Hospitals NHS Foundation Trust is one of the largest NHS teaching trusts in the country. It provides a wide range of general and specialist clinical services and is a base for medical education, training and research.

The Trust comprises four hospitals - the John Radcliffe Hospital, Churchill Hospital and Nuffield Orthopaedic Centre in Headington and the Horton General Hospital in Banbury.

Our values, standards and behaviours define the quality of clinical care we offer and the professional relationships we make with our patients, colleagues and the wider community. We call this Delivering Compassionate Excellence and its focus is on our values of compassion, respect, learning, delivery, improvement and excellence. These values put patients at the heart of what we do and underpin the quality healthcare we would like for ourselves or a member of our family. Watch how we set out to deliver compassionate excellence via the OUH YouTube channel.