Macmillan Urology Cancer Clinical Nurse Specialist

• Manage a specialist caseload of patients with urological cancers, providing continuity of care throughout diagnosis, treatment and follow-up.
• Undertake holistic assessments and deliver expert clinical advice, education and emotional support to patients and their families.
• Act as a trusted point of contact, supporting patients to navigate complex treatment decisions and access appropriate services and support.
• Coordinate care across the multidisciplinary team, working closely with consultants, surgeons, oncologists, allied health professionals and wider healthcare colleagues to deliver evidence-based, patient-centred care.
• Support patients undergoing surgery, radiotherapy, systemic anti-cancer therapies and other specialist urology cancer interventions.
• Advocate for patients and their families, ensuring their individual needs and preferences remain central to all aspects of care delivery.
• Act as a specialist resource for colleagues, promoting best practice and supporting the education and development of the wider clinical team.

• Manage a specialist caseload of patients with urological cancers within agreed scope of practice.
• Coordinate care across the multidisciplinary team to ensure timely and seamless patient pathways.
• Undertake holistic needs assessments at appropriate stages of the patient pathway and develop personalised care plans.
• Assess physical, psychological, emotional, social and information needs, ensuring patients are signposted to appropriate support services.
• Support patients, relatives and carers by providing expert advice, education and emotional support throughout diagnosis, treatment and recovery.
• Enable patients to understand complex clinical information and treatment options to support informed decision-making.
• Promote self-management and stratify patients according to their level of support requirements.
• Refer patients to internal and external agencies, including charities and support networks, as appropriate.
• Order, interpret and act upon routine investigations relevant to the specialty, in line with competency and local protocols.
• Maintain patient dignity, privacy and confidentiality at all times in accordance with professional standards.

• Facilitate communication between patients, consultants, nursing teams, allied health professionals and support services.
• Ensure smooth transitions between departments, services and healthcare providers.
• Develop trusting relationships with patients, families and healthcare professionals through effective multidisciplinary working.
• Facilitate and support patient groups and educational initiatives where appropriate.

• Act as a role model, demonstrating excellence in specialist nursing practice.
• Contribute to the development, implementation and evaluation of service improvement initiatives.
• Participate in clinical audit, quality improvement projects and outcome measurement activities.
• Lead and support delegated projects that enhance service quality, patient experience and clinical outcomes.
• Promote innovation and evidence-based practice across the service.
• Escalate concerns relating to patient treatment, safety or quality of care through appropriate channels.
• Lead or contribute to clinical incident investigations and support dissemination of learning.

• Contribute to the development of patient education resources and self-management programmes.
• Act as a specialist resource for colleagues, providing expert advice and guidance.
• Maintain and develop specialist knowledge through continuous professional development, research and evidence-based practice.
• Keep up to date with developments in urology cancer care and national best practice guidelines.

• Participate in audit, research and evaluation activities that support service development.
• Support the preparation of service reports and performance information.
• Promote and uphold governance, quality and patient safety standards.
• Share best practice, audit findings and service developments through presentations and publications where appropriate.

• Ensure all clinical documentation reflects assessments, interventions, outcomes and care plans.
• Adhere to information governance, confidentiality and data protection requirements.

• Assess and manage infection risks within the clinical environment.
• Ensure appropriate actions are taken to prevent, monitor and control infection.
• Participate in audit, reporting and learning activities relating to infection prevention and control.

• Maintain professional registration and fulfil revalidation requirements.
• Actively contribute to safeguarding adults, children and vulnerable individuals.
• Attend mandatory training and participate fully in appraisal and personal development processes.
• Take responsibility for personal accountability, lifelong learning and maintaining competency within the specialist role.

• Patients, families and carers
• Consultants and specialist medical teams
• Nursing colleagues
• Allied Health Professionals
• Diagnostic and support services
• Clinical governance and quality teams
• Community services and external healthcare providers
• Social care agencies and specialist support organisations

Essential

• Registered Nurse with current NMC registration.
• Significant post-registration clinical experience.
• Experience within oncology, cancer services, urology or a related specialist area.
• Demonstrable experience of managing complex patient pathways.
• Excellent communication, interpersonal and advocacy skills.
• Ability to work autonomously and as part of a multidisciplinary team.
• Strong organisational, prioritisation and clinical decision-making skills.
• Commitment to delivering high-quality, patient-centred care.

Desirable

• Specialist qualification or significant experience in urology cancer care.
• Experience of service development, audit or quality improvement.
• Teaching and education experience.
• Evidence of participation in research or innovation projects.