Acute Oncology/SACT ANP (Advanced Nurse Practitioner)

Acute Oncology/SACT ANP (Advanced Nurse Practitioner)

An exciting opportunity has arisen for an Acute Oncology and Systemic Anti-Cancer Treatment (SACT) Advanced Nurse Practitioner (ANP) to join our team on a 14-month fixed-term basis. With support from experienced nursing and medical mentors, the postholder will become part of the established ANP/Specialist Doctor team in the Private Patient MDU across Chelsea and Cavendish Square, working as an autonomous practitioner in an extended clinical role.

The role involves advanced physical assessments of day care SACT patients, including pre-treatment reviews, history-taking, clinical examinations, arranging investigations (e.g., bloods, imaging), and prescribing SACT and supportive treatments. The ANP will play a key role in recognising and managing early signs of clinical deterioration. This position aims to improve patient outcomes through enhanced service delivery and quality of care.

You'll be expected to work with a high level of autonomy and clinical decision-making within agreed protocols.

Agenda for Change & NHS Pension SchemeThis post is aligned with NHS Agenda for Change terms and conditions, offering fair pay, leave, and other benefits. NHS Pension Scheme access is retained.

We strongly encourage informal discussions with the line manager on this vacancy for further information - Salma Roy:

Main duties of the job

The Royal Marsden currently operates from two centres, in Chelsea and Sutton, with a Medical Day Unit at Kingston Hospital and a dedicated private diagnostics and treatment centre in Cavendish Square. With mentor support (nursing and medical), the ANP will integrate into the existing ANP/Specialist Grade Doctor team in Cavendish Square and Chelsea PPMDU, working as an autonomous practitioner to carry out their extended roles which will include:

• Clinical leadership to the nursing teams, maintaining credibility through practice and providing a high quality and safe patient service, exceeding patient expectations.
• Routine management of 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.
• The post holder will be involved in establishing, delivering, and leading a comprehensive acute oncology service within the Trust in line with the Acute Oncology Measures.

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 making a global contribution to finding better ways of diagnosing and treating cancer. We employ over 4,500 staff in diverse 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 deserve the very best. That's why the pursuit of excellence is central to everything we do.

Our dedicated team offers a stimulating and dynamic working environment, a wide range of staff benefits, learning and development opportunities, and clear career pathways. We support flexible working requests from the outset to promote work-life balance. We seek employees who aspire to excellence, share our values, and can contribute to our ongoing achievements.

Job responsibilities

For further information, please see the attached detailed Job Description and Person Specification:

• The ANP will order investigations (e.g., X-rays, blood tests), interpret results, and escalate concerns and abnormalities as appropriate to the Consultant or Outreach teams (if in RM Chelsea).
• Take responsibility for organising, undertaking, and interpreting investigations to ensure patients are fit for treatment, discussing findings with the Consultant as needed.
• Coordinate with Day Care Sister/Charge Nurse, administrative staff, and MDT members to optimise patient care throughout their treatment pathway.
• Review and prescribe medication in a timely manner, ensuring it is within your scope of practice and the Trust's Non-Medical Prescribing policy.
• Ensure good practice and customer care initiatives are maintained and improved, acting as an expert resource for patients, relatives, carers, and staff.
• Lead the provision of care in accordance with Trust policies, reflecting current practice trends and developments.

Person Specification Education/Qualifications

• Registration (NMC)
• Diploma or Degree level study (or equivalent)
• Evidence of ongoing professional development
• Physical assessment skills module
• Qualification in oncology or postgraduate equivalent
• SACT passport or equivalent chemotherapy module
• ILS/ALS
• Recognised teaching qualification
• Experience in accreditation processes
• Qualification in non-medical prescribing
• Master's degree in Advanced Practice

Experience

• Significant post-registration nursing experience in oncology or relevant specialty, with confidence and competence in required skills.
• Recognised advanced nurse practitioner skills, including assessment, diagnostics, and management.
• Experience in recognizing and managing oncological emergencies.
• Current experience managing deteriorating oncology patients, including safe transfer.
• Experience in large complex organizations or the NHS.
• Knowledge of the Acute Oncology Service and DH guidelines.
• Understanding of international service models.
• Experience managing change initiatives and engaging with clinical leaders.

Skills, Abilities, and Knowledge

• Effective interpersonal skills for liaising with multidisciplinary teams.
• Decision-making, prioritization, and working under pressure.
• Understanding of quality issues and national policies.
• Computer literacy (Microsoft Word, Outlook).
• Ability to lead Root Cause Analysis and quality improvement projects.
• Project management skills.
• Confident and persuasive presentation skills.
• Ability to present complex information to governance committees.
• Leadership in audit activities and implementing improvements.
• Excellent organizational, written, and verbal communication skills.
• Flexibility to work across all sites as part of a team.
• Proficiency in standard office software.
• Innovative thinking in the work context.

Disclosure and Barring Service Check

This post is subject to the Rehabilitation of Offenders Act (Exceptions Order) 1975, requiring a DBS check for any previous convictions.

£61,927 to £68,676 per annum including HCAS