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Lead Cancer Nurse | Dorset County Hospital NHS Foundation Trust

Job details
Posting date: 13 June 2024
Salary: Not specified
Additional salary information: £58,972 - £68,525 Per Annum
Hours: Full time
Closing date: 13 July 2024
Location: Dorchester, DT12JY
Company: Dorset County Hospital NHS Foundation Trust
Job type: Permanent
Job reference: 6373990/405-24-N305CAN


The Lead Cancer Nurse:

· will be expected to communicate highly complex, sensitive information to patients, relatives and staff at all levels throughout the organization and external agencies

· will be required to overcome communication barriers with patients, staff and the general public who are displaying emotional crisis, which may on occasion include vulnerability, verbal and physical aggression, learning difficulties and language barriers

· will be required to give presentations to small and large groups from a variety of occupational groups, including presentation of changes to working practice that may appear contentious

· will be expected to effect change in working practice, use negotiation skills to engage staff in changing practice and negotiate resources for services

· will be expected to work and liaise closely within the Division in delivering service needs.

· will work closely with cancer teams within the trust, the Dorset cancer Partnership, cancer teams

· at other Dorset acute trusts, Wessex cancer Alliance (including Wessex Lead Cancer Nurse forum).

The post holder will take the lead in developing and maintaining the Trust’s Acute Oncology Service, to include assessing patients, defining management in the absence of junior oncology medical staff, and prescribing drugs according to agreed directives.

The post holder will provide professional leadership to nursing staff responsible for the Cancer Beds and the Fortuneswell Unit and take the Lead Cancer Nurse role for the Trust.

The post holder will represent cancer nursing for DCH at regional and national meetings where necessary.

The post holder will deliver acute oncology services, including clinic reviews of patients on systemic anti-cancer therapy.

In conjunction with the Director of Nursing, will take a lead in relation to implementation of End of Life strategy.

At Dorset County Hospital (DCH) we aspire to providing outstanding care for people in ways which matter to them. Our trust strategy is focussed on three strategic goals: People, Place, and Partnership. It signals our intention to truly value our staff. Our people are our most important asset, and we want them to feel valued, welcomed, respected, they belong and matter. We recognise the link between high levels of staff satisfaction and improving patient experience and outcomes.

We are a Trust that celebrates diversity, and we are committed to creating an inclusive environment for all employees. Dorset County Hospital has a number of employees from overseas delivering high quality services and we recognise the value of diversity in leadership.


• The ANPAO will be required to have developed physical skills through practice e.g. venepuncture/cannulation and will be expected to demonstrate competence in administration of cytotoxic drugs and train and assess others in this skill.

· The ANPAO will use physical examination skills and history taking skills as part of her assessment process of patients.

· Following successful completion of the nationally accredited NMP training, the post holder will undertake non-medical prescribing (NMP) for patients being clinically managed in the post holder’s area of specialism.

· It is the post holders responsibility as a non-medical prescriber to work within the boundaries of the NMP policy at DCHFT and to the NMC’s Standards of proficiency for nurse and midwife prescribers

· Where clinically appropriate and following the necessary, approved training, the post holder will initiate and participate in end of life care discussions with patients and their families, including DNACPR discussions. Complete documentation to support DNACPR discussions, including the DNACPR form in line with the DCH resuscitation policy and the pan Dorset DNACPR policy. Ensure the DNACPR policy is adhered to at all times.

· Where clinically appropriate and within the boundaries described in the post holder’s personal non-medical radiology protocol, the post holder will request radiology investigations. All requested investigations results will be followed up by the post holder or a plan made for the patients oncologist to review the report in a timely manner.

· IRMER training will be undertaken regularly in line with trust policy to support non- medical requesting of radiology investigations



· is accountable for the delivery of the nursing service within the designated areas, developing and monitoring quality standards in respect of patient care thus ensuring continuous improvement

· is responsible for creating pathways for patients that improve and enhance their experience, including that patients are treated with respect at all times, ensuring privacy and dignity is protected by setting and monitoring standards

· will ensure that the highest standards of prevention and control of infection are set and monitored in every ward and department within the designated areas aligned to the high impact changes and Health and Social Care Act 2008.

· Will maintain knowledge and skills in relation to all relevant areas of nursing, including the extended roles of physical examination, radiology requesting and non-medical prescribing.



· is responsible for ensuring there are safe systems of care within the designated areas

· is required to follow Trust policies, implement policies for own work area and propose changing to working procedures /policies which may impact on other Directorates

· is responsible for service development of areas of responsibility in line with Trust and government initiatives and that nursing staff in the designated areas implement all relevant policies



• will have delegated responsibility for the ward and outpatient area budgets
• will be required to produce business cases for new nursing staff, services, procedures and equipment
• will ensure that they and staff know the procedures for handling patient valuables
• is responsible for ensuring a working system to deliver the Trust and Divisional Health and Safety policy


• Line manage the sisters in charge of the Fortuneswell Unit, specified cancer clinical nurse specialists, oncology social workers, cancer support workers and PA to cancer leads.
• Ensure sisters have systems in place and implemented to manage work planning and allocation, clinical supervision, appraisal, training and development, grievance and discipline, sickness absence, individual staff performance, recruitment and selection and any other system commensurate with the post
• Leading the professional development of nurses, developing extended roles, including organising procedures/tests, nurse led discharge and where appropriate nurse prescribing.

This advert closes on Thursday 27 Jun 2024

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