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Important Job Application Information
Thank you for your interest in NHS Tayside vacancies
Please see below Job Description/Specification and General Conditions of Service
Your Application Form must be completed in full. Please note copies of Curriculum Vitae,
Qualifications and Course Certificates will not be accepted at this stage.
Please return your completed Application Form to [email protected] (quoting the
vacancy reference number in the subject box) or to the postal address given on the General
Conditions of Service.
All completed applications are held in Human Resources until the closing date. After the closing
date a panel will meet to prepare an interview shortlist. Once this decision has been made, all
shortlisted applicants will be emailed to invite them to attend for interview. It is important that you
check your emails regularly.
This process takes approximately 6 weeks. Therefore, if you have not been contacted regarding
interview within 6 weeks of the closing date, your application has been unsuccessful and you will
receive no further correspondence from Human Resources.
ADDITIONAL INFORMATION:Find out more about living and working in Tayside at:
www.dundeecity.gov.uk
www.angus.gov.uk
www.pkc.gov.uk
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ADDITIONAL SHEET
NINEWELLS HOSPITAL – DUNDEE
SURGICAL DIRECTORATE
MACMILLAN TRANSFORMING CARE AFTER TREATMENT PROGRAMME
ADVANCED NURSE SPECIALIST/ADVANCED AHP/PROJECT MANAGER, BAND 8A
CANDIDATE NUMBER: ________________________________
Please tick to indicate preference:
Advanced Specialist Nurse
Advanced AHP
PLEASE RETURN THIS SHEET WITH YOUR APPLICATION FORM
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JOB DESCRIPTION
Advanced Specialist Nurse
NHS Tayside
1. JOB DETAILS
Job Title: Advanced Specialist Nurse- Transforming Care After Treatment for Cancer Programme
(TCAT)
Department: Surgical Directorate
Immediate Senior Officer: Head Of Nursing
Location: NHS Tayside
Salary: Indicative Band 8a
Hours of Work: 2 Year Secondment of 0.6 WTE over 3 days initially with expected increase to full
time as programme progresses
2. JOB PURPOSE
Summary
In collaboration with an appointed AHP the post holder will have the responsibility for the
planning, delivery and evaluation of a project Transforming Care after Treatment across
NHS Tayside. The project will initially focus on services providing care for patients within the
three main tumour sites of Head & Neck, Prostate and Colorectal cancer. The post holder
will be responsible for the overall project management of the Tayside TCAT programme
using robust project management techniques and ensuring appropriate resources are
available to support its delivery within agreed timeframes and adhere to key milestones of
project. The post holder will provide professional and clinical leadership to health and
partnership organisations involved across Tayside and Fife to:
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Ensure safe and effective clinical practice
Design, implement and evaluate the Transforming Care after Treatment programmes of
care
Enhance the patients experience of care
Manage and develop the performance of the team
Contribute to the delivery of the organisations objectives
Enable and promote patients’ independence
Ensuring interpretation of national policies for local implementation within specialist
service and providing specialist advice to NHS Tayside Board
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3. ORGANISATIONAL POSITION
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Head of Nursing .Directorate
Nurse Director
Associate Nurse Director
Cancer Nurse Consultant
Advanced Specialist Nurse
(THIS POST)
AHP
Administrative
Assistant
Specialist
Nurses
4. SCOPE AND RANGE
NHS Tayside covers some 7,558 square kilometres with a population of approximately 394,000.
The TCAT programme is an initial 2 year funded project to address a fundamental priority of
cancer care the transformation from a disease-surveillance model of follow up to a person-centred
model of aftercare which enables people to live healthily with and beyond cancer within NHS
Tayside and will involve primary and secondary care and local authorities within Dundee, Perth
and Angus.
This project has three core aims:  To introduce systematic holistic needs assessment and an end of care treatment summary
across 3 cancer site specific teams of Head and Neck, Colorectal and Prostate cancer
through a co-ordinated programme of education and support, led by an Advanced Cancer
Specialist Nurse and an AHP co-ordinator.
 To develop pathways for enhancing health and wellbeing for cancer survivors, which promote
self-management and make maximum use of the many existing services and resources
available in local communities
 To support the development and evaluation of transformed models of follow up for patients
with complex needs who require on-going multidisciplinary rehabilitation.
The advanced specialist nurse will be project manager and professional lead for the TCAT team
which would consist of an AHP Lead and administrative support and has responsibility for:
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As project manager leading on the TCAT Programme project the outcome of which will
contribute to delivering strategic service change and modernisation plans. Acting
independently and in collaboration to direct, develop, design and manage the project with
realistic but firm timescales for delivery;
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The post holder will engage with key stakeholders (Clinicians, Patients, Staff, Local
Authorities and Voluntary Organisations) in the design and implementation of TCAT
Programme to ensure that the outcome is patient centred and co-ordinated. Engagement will
be achieved through a range of methods but in particular through the post-holder designing,
leading and facilitating appropriate workshops and communication events. Determining
appropriate points of contact and individuals key to this particular project. Engagement will be
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an ongoing process throughout the project and will be focussed on gaining commitment and
ownership of plans and agreed actions.
Ensuring that standards of practice are maintained, reviewed and continuously developed and
that staff across Tayside, deliver safe, effective, patient-centred, efficient, timely and equitable
care within their scope of practice as part of the Transforming Care after Treatment team
Implement a rolling programme of education for hospital and community based nurses and
AHPs ,using Macmillan templates to facilitate the introduction of holistic needs assessment
and end of care treatment summaries and develop action plans and workable systems for
their use in practice
Creating an environment in which effective learning can take place underpinned by evidence
based practice
Mapping the involvement of the multidisciplinary teams within the designated areas
Developing the patient pathway from point of referral at end of primary treatment through to
follow-up and discharge
Piloting Nurse/AHP led clinics for new referrals and following up patients to ensure that they
are seen timeously by the appropriate person at the appropriate time
Leading the development of policies, guidelines and protocols in the specialty area and
ensuring that they are approved, implemented, monitored, evaluated and updated.
Instigating investigations following incidents/adverse events/complaints taking appropriate
action and follow up in line with the organisational policy/disciplinary procedures
The Advanced Specialist Nurse:
 Will introduce systematic holistic needs assessment and accompanying care planning at end
of primary treatment based on assessment of individual risks, needs and preferences.
 Will introduce the use of an end of treatment care summary across the three cancer sites
initially in a variety of settings throughout Tayside.
 Is an advanced practitioner with highly developed specialist knowledge and skills in this field
of practice whilst acting as a resource and providing advice in a wide range of situations.
 Will develop pathways for enhancing health and well being for patients living with and after
cancer, which promote self management and make maximum use of the many existing
services and resources available in the local communities.
 Support the development and evaluation of transformed models of follow up for patients with
complex needs who require ongoing multidisciplinary rehabilitation
 Leads service development throughout Tayside by working closely with a range of colleagues
to enhance patient care /experience.
 Ensures that methods of communication in relation to the patient is coordinated between
acute and primary health care teams through implemented documentation,
 Ensures the appropriate level of expertise and skill mix and managing annual leave and study
leave entitlement to ensure that service is appropriately covered.
 Has budgetary responsibilities for the project including supplies ordering, use of equipment,
effective use of physical, human and financial resources within the area
 Ensure staff adhere to policies and procedures for management of patients valuables,
endowments, donations/gifts
Environment of Care
 Tayside wide Primary and Secondary Care
 Outpatient departments, clinical areas, patient’s homes
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5. MAIN DUTIES/RESPONSIBILITIES
Within the governance framework of the organisation (including clinical, staff and financial
governance) the post holder will focus and lead on the following key result areas:
1. TO ENSURE SAFE & EFFECTIVE CLINICAL PRACTICE
1.1 Clinical Leadership and Teamwork
As clinical leader promotes teamwork within a multi-professional environment in conjunction with
teams of the three cancer sites of head and neck, colorectal and prostate cancer, demonstrating
critical analysis and decision making skills, leading the delivery of a clinically excellent, high
quality cancer follow up service influencing and facilitating change throughout Tayside and where
appropriate, the organisation.
Adhere to key milestones within project plan
Lead effective teamwork and healthy working relationships through consistent and visible support
To support the development and evaluation of transformed models of follow up for patients with
complex needs who require ongoing multidisciplinary rehabilitation
Implement systems to facilitate a sensitive and positive approach to the review of complaints
learning from the experience of users to improve healthcare experience
1.2 Evidence Based Clinically Effective Practice
Act as a change agent leading the development of clinically effective practice through the
effective utilisation and integration of evidence; setting, implementing and monitoring evidence
based policies, procedures and protocols.
Lead and facilitate team participation in ongoing research at all levels in nursing practice in
Cancer Specialty. From critical awareness of research, through implementing into practice
evidenced based research, to being identified principal investigator for nursing research in
specialty.
1.3 Continuous Quality Improvement
Continued development and evaluation of the electronic HNA using the Macmillan
I pad Patient Concerns Inventory(MiPCI) for head and neck cancer
Liaison with NHS Tayside IT dept to embed end of treatment assessment template into existing
systems to facilitate electronic communication of treatment summary to primary care
Lead the identification and development of frameworks and mechanisms to monitor standards
and quality of clinical practice, ensuring a culture of continuous quality improvement through the
use of audit, patient feedback and reflection on practice by self and other members of the team.
Lead collaboration within and external to team in relation to quality improvement. Formulate and
present evidence and needs assessments for improvement, action plans for quality improvement
and monitor and report on progress and impact.
Commission and work effectively with organisational development and service improvement
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colleagues to focus on identified and agreed quality improvement projects.
1.4 Patient Safety
Responsible for promoting a safe and clean environment for staff, patients and visitors by
ensuring compliance with legislation, policies and protocols e.g. health and safety, healthcare
associated infection, risk management and critical incident reporting and analysis, assessing and
managing actual and potential risks to health and well-being.
Ensures high standard of record keeping in accordance with Nursing & Midwifery Council,
national legislation and local standards, facilitating effective communication with multiprofessional team regarding patient care.
Responsible for data entry and storage of data using computer based systems.
1.5 Patient Care
Using a risk stratification approach identify patients who have particularly complex needs after the
end of treatment and work with existing teams to establish alternative and person-centred models
of care which foster multidisciplinary working and are designed to address complex problems
such as incontinence, pain and eating difficulties.
Provide a coordinated advanced specialist nursing and AHP contribution to the clinical
management of a defined caseload working autonomously and in collaboration with
multidisciplinary professionals in order to improve the follow up care of patients with cancer
Participate in multidisciplinary team decision making, presenting patients, discussing treatment
options whilst documenting outcomes in patient’s notes, discussing proposed treatment plan with
patient, relevant clinicians and general practitioner.
Deliver Nurse/AHP led clinics for follow-up for patients with complex needs who require ongoing
multidisciplinary rehabilitation.
Undertake ongoing evaluation and revision of patients with complex problems with respect to
clinical interventions which have been suggested.
Perform and interpret the results of tests undertaken to diagnose and/or manage the patients’ with
complex symptoms at end of cancer treatments. Plan and initiate follow-up management of
patients depending on the results of examinations. Discuss results with patient recommending
medications, further investigations or treatments.
Assess the health education needs of patients initiating health promotion, providing patients with
written information where appropriate.
Assess patients presenting with unscheduled problems by telephone or as an out-patient,
providing advice, requesting appropriate investigations and organising admission to hospital if
appropriate
Initiate ongoing referrals for further assessment, diagnostic tests and to other professionals.
Prescribe and/or make recommendations within the multi-disciplinary team and within primary
care about patients’ medications particular to the speciality, working within the scope of their own
professional practice, adhering to the NMC Standards for Medicines management and the NHS
Tayside Safe and Secure Handling of Medicines Manual.
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Contribute to the avoidance of unnecessary hospital admissions through improved patient self
management and enhanced symptom control.
2. TO ENHANCE THE PATIENT’S EXPERIENCE
2.1 Coordination of the Patient Journey
Scope out existing services to promote health and wellbeing across Tayside, utilising the ALISS
and TIPS resources and health and social care and third sector partners to enable development
of package of options for signposting and referring patients onto programmes which promote
physical activity, smoking cessation, nutritional care, vocational rehabilitation, financial support
and psychological wellbeing
2.2 Clinical Expertise
Responsible for introducing systematic holistic needs assessment and an end of care treatment
summary for patients across the 3 cancer site specific teams ensuring a co-ordinated programme
of education and support in collaboration with AHP coordinator.
Responsible for ensuring co-ordination of specialist nursing interventions, influencing clinical
decisions and monitoring the quality of patient care provided in acute and primary care, and within
community hospitals, through using expert clinical knowledge relevant to own field of practice,
underpinned by theory and experience.
2.3 Promote a Culture of Person Centred Care
Promote a greater focus on recovery, health and well being after cancer treatment
Promote patient participation in decision making including the process of obtaining informed
consent for examinations/ interventions ensuring that the nature, consequences, alternatives and
risks of treatment are understood by the patient.
Within a multidisciplinary team environment, develop a culture of person-centred care,
communicating regularly with patients, relatives and/or carers; promoting a caring environment
where equality and diversity issues are respected and patients are enabled to be partners in their
care.
Identifies opportunities to develop care and services by ensuring that there are effective systems
in place to ascertain patient and carer experience/feedback and complaints are managed in line
with organisational policy including the dissemination of learning points.
3. TO MANAGE & DEVELOP THE PERFORMANCE OF THE TEAM
3.1 Role Model
Act as a role model, creating a supportive ethos to empower staff to contribute to the delivery of
high quality person-centred care.
3.2 Learning and Development
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Develop regular health and well being events based on existing Macmillan model to deliver to a
range of nurses and AHPs from across Tayside to enhance knowledge, skills and confidence and
promote sustainability of the model
Support the learning and development of all staff, creating a learning environment that ensures
effective learning opportunities for all staff and students, facilitating a range of clinical support
strategies (mentoring, coaching, clinical supervision and action learning) and planning on-going
mandatory training and relevant education/development opportunities.
Support the career pathway of individual team members by ensuring all staff participates in
Individual Performance Review and Personal Development Plans and they maintain an up to date
knowledge of current clinical and professional issues and legalities.
Actively provide strategies & leadership to support & mentor other staff and peers at a higher level
of practice.
Lead health promotion activity raising the awareness of communities and populations about
health and wellbeing and the actions that can be taken to address issues
Contribute to and influence the development of pre and post registration curriculum and
contributes to the teaching of various professional/multi-agency groups
Represents the organisation at local, national and international conferences/ events sharing
evidence of best practice with peers through presentations oral or poster, publication of research
or practice development.
3.3 Managing the Practice Setting
Manage the practice setting, ensuring effective use of resources and workforce planning by
monitoring workload and maintaining appropriate staffing levels taking account of role and
competence of staff when delegating work, contributing to the management of the service budget.
Manage the nursing/midwifery team by ensuring compliance by self and others with professional
standards including (NMC Code of Professional Conduct), legislation, national and organisational
policies, leading recruitment and selection, attendance management, ensuring grievance and
disciplinary matters within own department are identified, actioned and reported to the appropriate
manager
Ensure systems are operational to ensure all staff have current professional registration
Participate in attendance management completing return to work interviews and follow-up action
4. TO CONTRIBUTE TO THE DELIVERY OF THE ORGANISATION’S OBJECTIVES
4.1 Networking
Network with peers across professional groups promoting the exchange of knowledge, skills and
resources
Influence policy, procedures and protocols at local and national and international level relating to
the Transforming care after treatment representing NHS Tayside at all levels.
4.2 Service Development
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Lead and implement change in practice or redesign by initiating discussion and debate to
influence and action quality improvement in practice within multidisciplinary team
Work in partnership with a range of clinicians and managers in the planning or development of the
TCAT programme promoting the involvement of patients/public.
Development, implement and evaluate systems that support and involve patients/client/carers and
relatives in the planning and delivery of individualised care
4.3 Political and Strategic Awareness
Develop and maintain a working knowledge of local, national and professional strategy and policy,
ensuring that organisational goals are reflected in own personal objectives and in NHS Tayside
Strategic Plans and demonstrate the ability to contribute to policy and strategy development at
organisational, regional and national level.
Is politically astute and demonstrates an understanding of the climate and culture in their
organisation and in the wider health and social care environment at regional and national level.
4.4 Service delivery and organisation
Works with managers to suggest and improve the services provided to the local community,
representing nursing in local service improvement meetings
Be responsible for establishing and management of the planned TCAT Stakeholder group which
will include membership from the relevant cancer site specific teams, primary care, community
health partnerships and local authority and voluntary agencies and patient support groups.
6. EQUIPMENT & MACHINERY
The Registered Nurse is expected to have the knowledge and skills necessary to use all
equipment safely in the area The post holder will be required to manage the use of the
following equipment for the reasons stated and is responsible for ensuring that
systems/policies/procedures are communicated to staff to ensure safe use, maintenance and
storage of equipment in the area:
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Frequent use of moving and handling equipment used within wards and clinics
Medical and Technical equipment to record vital signs and administer treatments
Near patient testing to monitor physiological status
IT equipment including local and national systems to read, analyse, record and transmit
patient and staff information within the boundaries of local and national policies and
legislation
Clinical Records
Emergency alarm systems
7. DECISIONS & JUDGEMENTS
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The post holder
Will be responsible to Head of Nursing for guidance and professional management, work
review and formal appraisal of performance.
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Will be responsible for providing senior management teams with expert advice relating to
the specialist field.
Makes highly complex clinical decisions including diagnosis and clinical management
based on in-depth expert knowledge and interpretation of clinical and other findings such
as laboratory and radiological investigations.
Acts as an autonomous practitioner, acting on own initiative. Plans, manages and
prioritises own caseload whilst appropriately delegating the weekly workload to other
nurses working within the specialist nurse team.
Will have continuing responsibility for setting and monitoring standards and quality of
clinical practice and ongoing management of the specialist nursing team.
Has responsibility for supporting the nursing team to reflect upon and review their
decisions in relation to assessing, monitoring, evaluating and interpreting patients’
condition and effectiveness of their care programmes.
Is also accountable for decisions relating to the management of physical, human and
financial resources in own area including recruitment and workforce planning.
8. COMMUNICATION & RELATIONSHIPS
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Highly developed interpersonal and negotiating skills with a wide variety of health care
professionals to ensure effective service delivery where co-operation and mutual respect
are essential.
Managing conflict within the team that can arise by sensitively challenging attitudes and
resolving problems providing solutions in an honest and non threatening manner.
Utilise advanced communication skills in conjunction with an advanced level of clinical
expertise in consultations with patients presenting with complex disease, including the
ability to inform them of their diagnosis, intervention and care options, facilitating patient
choice
Establish and maintain relationships based on mutual respect communicating on a regular
basis with the patient/relatives/multidisciplinary team and external agencies involved in the
provision of care.
Establish and maintain relationships within regional and national planning groups.
Continuous responsibility for establishing systems and standards of communication for
routine, complex, sensitive and potentially contentious and stressful matters with a wide
range of health and social care workers, patients, families, other relevant
departments/agencies using a wide range of media such as telephone, verbal and written
communications to overcome any difficulties in communication with people involved,
identifying and negotiating appropriate actions to reach agreed outcomes, demonstrating
sensitivity and empathy when communicating with people.
Establish and maintain relationships based on mutual respect communicating on a regular
basis with the patient/relatives/multi-disciplinary team and external agencies in the
provision of respiratory care and services. Ensures appropriate systems are developed
and operational to facilitate dissemination of information up, down and across the
organisation.
Provide and report formal, informal support and counsel to team members.
RESPONSIBILITY FOR RECORDS MANAGEMENT
All records created in the course of the business of NHS Tayside are corporate records and are public
records under the terms of the Public Records (Scotland) Act 1937. This includes email messages and
other electronic records. It is your responsibility to ensure that you keep appropriate records of your work in
General Conditions 05.08
NHS Tayside and manage those records in keeping with the NHS Tayside Records Management Policy
and with any guidance produced by NHS Tayside specific to your employment.
9. DEMANDS OF THE JOB (Physical, Mental, Emotional)
Physical Skills (several times per shift)
The post holder will require a range of physical skills relevant to clinical area examples are
IT key board skills, general use of IT systems, use of diagnostic equipment for clinical
examination and technical skills.
Physical Demands (several times per shift)
The physical demands include movement and transportation of bulky equipment
associated with patient care, movement of tables, chairs etc for meetings and clinical
consultations, and travel on a daily basis within NHS Tayside.
Mental Demands (several times per shift)
The mental demands include concentration required when preparing reports, analysing
data with unpredictable interruptions and changing priorities; concentration required when
observing patient behaviours/physiological status; balancing the competing demands of
the role; maintaining high level and consistent professional behaviour in unpredictable and
stressful situations; meeting the needs of all stakeholders with finite resources; keeping
abreast of national and local policy and evidence based practice , interpreting applicability
and adapting for local implementation; monitoring quality and financial data developing
action plans for improvement; continuously motivate, enthuse and maintain morale of staff
within an ever changing environment; working as clinical leader within multi-professional
team; teaching and presenting to staff and patient groups with differing knowledge levels.
Emotional Demands (variable frequency)
Communicating with distressed/anxious/worried patients/ relatives/staff; palliative care
support for patients who are dying from their disease over a prolonged period; caring for
and/or communicating bad news to patients/relatives/staff; dealing with challenging
behaviours; supporting team members with personal and professional issues; carrying out
performance/investigatory/disciplinary procedures.
Working Conditions (several times per shift)
Working conditions include for example exposure to body fluids; exposure to confined
spaces and unpleasant conditions, spending prolonged periods at the computer; working
outwith normal working hours; frequent hand washing; travel across Tayside daily; lone
working.
10. MOST CHALLENGING/DIFFICULT PARTS OF THE JOB
Effective management and prioritisation of competing demands within an unpredictable
environment.
Balancing the demands of all stakeholders including patient peer support groups and other
agencies to provide a safe, effective, efficient, person-centred, timely and equitable service.
Ensuring effective management of physical, human and financial resources and standards of
care across NHS Tayside.
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Risk assessment, reporting and management of all working priorities.
Achieving, by influence, commitment to service modernisation from a diverse range of
stakeholders.
Assimilating information (sometimes complex) from a variety of sources, presenting it in a
meaningful and sometimes sensitive way to identify problems or solutions.
Developing with stakeholders, realistic, achievable and measurable plans.
Engaging, motivating staff and maintaining complex stakeholder commitment and
relationships whilst managing complex and challenging change project
11. QUALIFICATIONS AND/OR EXPERIENCE SPECIFIED FOR THE POST
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First level nursing or midwifery qualification. Appropriate part of NMC Register relevant to
area
With first degree and evidence of ongoing development to Masters level 11 of Scottish
Credit and Qualifications Framework (SCQF)
Post holder must have extensive post registration experience within specialist field and
demonstrate extensive expert clinical and professional practice developed through
experience and theoretical knowledge.
Hold a recognised Master’s degree level 11 of Scottish Credit and Qualifications
Framework (SCQF) specialised qualification relevant to specific post.
Ability to maintain professional and personal credibility across all staff groups
demonstrating knowledge of current clinical policies and guidelines
Ability to lead and manage teams at a strategic and organisational level, lead practice,
continuous professional development and educational activity, working effectively as part
of a multi-professional / multi- agency team
Acting on a consultancy basis provide detailed advice to other specialists and nonspecialists
Ability to develop protocols which influence and change practice
Personal motivation and enthusiasm for the development of nursing, patient care and the
enhancement of the patients experience of care
Computer and information literacy.
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Job Description
1. JOB IDENTIFICATION
Job Title
Transforming Care after
Treatment for Cancer
Programme (TCAT) AHP
Department(s)/Location
Surgical Directorate, NHS
Tayside
one
Number of Job Holders
2. JOB PURPOSE
In collaboration with an appointed Advanced Specialist Nurse the post holder will contribute to
planning, delivery and evaluation of the Transforming Care After Treatment (TCAT) programme
across NHS Tayside commencing for patients within the three main tumour sites of Head and
Neck, Prostrate and Colorectal cancer. The post holder in collaboration with the Advanced nurse
TCAT post support its delivery within agreed timescales.
The post holder will provide
professional and clinical leadership to health and partnership organisations involved across
Tayside and Fife to:
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Ensure safe and effective evidence based clinical practice
Design, implement and evaluate Transforming care after treatment programmes of care
Enhance the patients experience of care
Manage and develop the performance of the team
Contribute to the delivery of the organisations objectives
Enable and promote patients’ independence
Ensuring interpretation of national policies for local implementation within specialist service
and providing specialist advice to NHS Tayside Board.
3. ORGANISATIONAL POSITION
AHP Directorate
Nursing Directorate
Head of Profession
Advanced nurse
TCAT
AHP
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Administrative
Assistant
4. SCOPE AND RANGE
NHS Tayside covers 7,558 square kilometres with a population of 400,000. TCAT is a 2 year
funded project to address a fundamental priority of cancer care – transformation from a follow-up,
disease-surveillance model to a pro-active, person–centred model of aftercare that enables
people to live healthily with and beyond a cancer diagnosis within NHS Tayside. The model will
bring together primary and secondary care and local authorities across Angus Dundee, Perth and
Kinross
This project has three core aims: To introduce systematic holistic needs assessment and an end of care treatment summary
across 3 cancer site specific teams of Head and Neck, Colorectal and Prostate cancer
through a co-ordinated programme of education and support, led by an Advanced Cancer
Specialist Nurse and an AHP co-ordinator.
 To develop pathways for enhancing health and wellbeing for cancer survivors, which promote
self-management and make maximum use of the many existing services and resources
available in local communities.
 To support the development and evaluation of transformed models of follow up for patients
with complex needs who require on-going multidisciplinary rehabilitation.
This post will be a key team member helping to deliver on the following:
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Develops pathways for enhancing health and well being for cancer survivors, which promote
self management and make maximum use of the many existing services and resources
available in the local communities.
Lead and evaluate new models of management and rehabilitation for patients with complex
needs in a community environment.
Leads implementation of holistic assessment and personalised care planning based on
individual risks, needs and preferences.
Leads development and implementation of end of treatment care summary for three cancer
pathways across Tayside.
Co-ordinates care across acute and primary health care teams
Demonstrates clinical and leadership skills, providing wide-ranging professional advice to
other professional, patients and their carers.
Operates as an advanced practitioner with highly specialist knowledge of cancer care,
Leads service development throughout Tayside by working closely with a range of colleagues
to enhance experience and quality of care.
Lead workforce development and appraisal of service and staff within the TCAT team.
Maintain financial and budgetary control in line with Standing Financial Instructions
Responsible for performance management of staff and compliance with
Environment of Care
 Tayside-wide Primary and Secondary Care
 Outpatients departments, clinical areas, patient’s homes.
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5. MAIN DUTIES/RESPONSIBILITIES
Support the implementation of the TCAT Programme project
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Work in collaboration with Clinical Leads and the Multi-disciplinary/agency team
Provide leadership and facilitate engagement of AHPs and nurses within the TCAT team
Develop wider professional engagement and involvement in Cancer care.
Provide leadership, expert advice and support to managers and clinicians for the three cancer
pathways; head and neck, colorectal and prostate to achieve better patient experience and
clinical outcomes.
Work in collaboration with staff and services across Tayside and in conjunction with other
organisations / partners to develop approaches that systematically improve the aftercare of
patients living with cancer.
Enable AHPs to build capacity and capability for improvement and practice development
through the application of service improvement and quality improvement methodologies.
Promote and support a culture of learning, research, development and integrated working.
Use data to evaluate the effectiveness of the service and to develop programmes for
improvement.
To develop and sustain programmes of multidisciplinary rehabilitation.
Implement evidence based practice and develop a cycle of continuous service improvement.
Lead and facilitate team participation in ongoing research.
Implement a rolling programme of education for all staff to support effective use of Macmillan
assessment templates and end of care treatment summaries
Develop plans and reporting mechanisms to demonstrate implementation.
Lead development of policies, guidelines and protocols in the specialty in line with NHS
Tayside policy.
6. COMMUNICATIONS AND RELATIONSHIPS
The role involves communicating with other disciplines and staff across a range of clinical
groupings. Working relationships associated with this post are complex and need highly
developed interpersonal and communication skills. It is essential therefore that the postholder is
able to effectively communicate confidentially and sensitively and have a good understanding of
issues to be able to resolve difficulties where appropriate. The nature of this post necessitates
excellent communication and interpersonal, facilitation, influencing and negotiation skills.
The postholder has a key communication role and is expected to establish and maintaining
effective communication and productive working relationships with a wide range of personnel and
agencies. The key stakeholders will include NHS Tayside Committees, NHS Board members,
Non-Executive Directors, Senior Managers and Clinical Leaders. The postholder is also required
to communicate with the Scottish Government, Healthcare Improvement Scotland, other Health
Boards, Special Boards, Universities and further education establishments, local authorities,
partner agencies, service users and carers.
There is a need for highly developed inter-personal, communicate and presentational skills.
These skills are necessary to inform, discuss and persuade all staff members from senior
managers, senior clinicians and non clinical staff as the direction and necessity of quality
improvement. The postholder will be required to identify the most appropriate and applicable
communication method which will require to be used. Communications can be to individuals, staff
groups, organisation wide conferences and at public meetings.
General Conditions 05.08
7. KNOWLEDGE, TRAINING AND EXPERIENCE REQUIRED TO DO THE
JOB
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Educated to degree level or equivalent with demonstrable ability to learn and develop at
Masters level evidence through a formal qualification or a combination of others forms of
study or learning.
A commitment to life long personal learning and development in the management,
improvement and delivery of healthcare services.
Previous experience within the health service, or equivalent related service, demonstrating
knowledge and understanding of complex organisations and the challenges of working within
such an environment.
Experience working with AHP services and an understanding of the various professions is
essential.
An in depth knowledge of corporate governance and organisational policies and procedures.
Self-motivated with the ability to work as part of a team in a flexible manner liaising with senior
and clinical staff.
Ability to work independently using effective self-management of time and priorities and
deliver projects / work to specified timescales including working under pressure.
Able to demonstrate that ability to develop quickly and retain an understanding of the working
of the organisation.
Excellent oral, written and visual communication skills.
Good interpersonal and teamwork skills.
Advanced computer skills and literacy are essential. The ability to work proficiently within the
full range of current software packages (Word, Access, Excel, and PowerPoint) is paramount.
Well developed personal and communication skills are required in the information gathering
element of the role.
The ability to work against a background of continual change is essential.
The post holder will demonstrate experience in project management across various
disciplines and a clear understanding of quality improvement methodologies and change
management.
Ability to challenge the norm and assumptions to develop new ideas and ways of working
through a range of specialist improvement and development techniques that will be acquired
through experiential or formal learning opportunities if not already present.
Has the ability to work with wide range of professionals and engage them in improvement.
Knowledge of rehabilitation process within the “living with cancer” field.
General Conditions 05.08
8.
SYSTEMS AND EQUIPMENT
Computer Based Systems:
 Internet and Intranet (Staffnet)
 Electronic Document Store
 Electronic Diary
 E-mail
 Microsoft Office – Word, Access, Excel, PowerPoint
 Filing systems (electronic and manual)
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Equipment;
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Multi-media equipment for setting up PowerPoint presentations
Videoconference facilities linking locally / nationally
Overhead projector
Personal Computers / Laptops
General Office Equipment (Fax, Telephone, Photocopier, Laminator, Shredder etc)
Responsibility for Records Management
All records created in the course of the business of NHS Tayside are corporate records and are
public records under the terms of the Public Records (Scotland) Act 1937. This includes email
messages and other electronic records. It is your responsibility to ensure that you keep
appropriate records of your work in NHS Tayside and manage those records in keeping with the
NHS Tayside Records Management Policy and with any guidance produced by NHS Tayside
specific to your employment.
General Conditions 05.08
9. PHYSICAL DEMANDS OF THE JOB
The workload is subject to constant interruptions and work is not predictable as priorities change
at very short notice according to the needs of the project. Requests for formal and informal
advice are frequently by e-mail, telephone and in person.
Physical:
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Refined Keyboard skills.
Presentation / Facilitation skills.
Negotiating skills.
Project management skills.
Carrying equipment, flipcharts and stationery for presentations or meetings.
Working mainly within office / NHS environments.
Mental:
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Motivation and ability to work to challenging deadlines.
Indepth understanding of the physical, organisational and political structures within NHS
Tayside.
Dealing with information and communication which may cause distress.
Need to adapt to different personalities (often unknown) within very short periods of time and
adapt thinking processes / responses accordingly – regularly.
Act and take decision quickly.
Ability to regularly grasp developments in a professional manner with a high degree of forward
planning regularly.
Emotional:
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Being involved in sensitive, restrictive or confidential planning, when information cannot be
shared or disclosed.
Frequently changing and unpredictable priorities, some long term, other intermediate that
overturn workload planning.
Ability to reflect and critique self to aid personal and professional development.
Working efficiently within a range of temporary project structures and recognising the impact
of this on other permanent systems.
Prioritisation of work in relation to key strategic goals set by line manager.
Accommodating and responding to personal dynamics and the politics of working within a
complex organisation constantly.
Managing conflicts and team issues.
Working Conditions:
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Use of VDU for major part of the day.
Office based.
Occasional travel to meetings, events and other gatherings required.
Required on occasions to transport laptop computers / projectors to meetings.
General Conditions 05.08
10. DECISIONS AND JUDGEMENTS
Within the above parameters, work is self-generated and self directed by the analysis and
evaluation of service provision and operating requirements. Use of a significant degree of
initiative in order to participate or react to changes in service needs and requirements is
challenging, but an essential part of the role.
Post holder will plan and deliver interventions through the adaptive use of prior experience and
knowledge into new and untried situations utilising a range of tools and techniques in order to
deliver high quality, innovative solutions for the organisation.
Co-ordination of views and opinions from all professions involved in projects in order to achieve
the objectives of the services in an organised and participative environment where change and
development can be managed with relative ease.
Dealing with uncertainty and change through the use of a range of change management
interventions.
Promoting and supporting a culture and climate where quality of service is paramount enabling
others to meet national and local service improvement targets.
Will be responsible to advanced nurse for guidance, work review and formal appraisal of
performance.
Will be responsible for providing senior management teams with expert advice relating to the
specialist field.
General Conditions 05.08
11. MOST CHALLENGING/DIFFICULT PARTS OF THE JOB
Effective management and prioritisation of competing demands within budgets and time limits.
Balancing the demands of all stakeholders to create efficient and effective working.
examination of workload and prioritising key tasks often within deadlines
Critical
Ability to multi-task unpredictable, non-routine issues as demand requires ensuring workload is
completed to appropriate standard.
Maintain cross communication between Senior members of the NHS Tayside Board and the large
number of staff within the 10 Allied Health Professions.
Developing / building and maintaining positive and effective working relationships and effective
communication strategies with a wide range of professional groups across a range of internal and
external agencies.
Provide a high quality, dynamic and innovative approach to the AHP Directorate in an ever
changing environment.
Influencing the approach and behaviours of those affected by change and those who commitment
is essential.
Dealing with highly sensitive information.
Deal with constant interruptions, demands of others and prioritisation of demands
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General Conditions 05.08
General Conditions of Service
POST REF NO:
D/JM/167/14
JOB TITLE/GRADE:
Advanced Specialist Nurse/Advanced AHP/Project
Manager, Band 8A
LOCATION:
Conditions of Service
Remuneration
Hours of Duty
Surgical Directorate, Ninewells
The terms and conditions of service for this post are those
determined by the NHS Staff Council.
The current salary scale for the post is £39,632 to £47,559 per
annum (pro rata for part-time staff). Placing on the scale on
appointment is normally at the minimum but may be higher
subject to verification of previous relevant service.
Salary is paid monthly by Bank Credit Transfer.
The hours of the post are 22.5 per week for initial 6 months then
37.5 per week for 18 months.
This is a fixed term/secondment post for 2 years as a result of
fixed term funding
Internal applicants: Written approval must be sought from your
line manager prior to applying for this secondment. You will be
required to bring this if shortlisted for interview.
Superannuation
Start and finish times will be determined by the needs of the
service.
Membership of the NHS Superannuation Scheme is not
compulsory but is open to all staff between the ages of 16 and
70 (65 in some instances).
The contributions paid are a percentage of superannuable pay,
which is essentially basic pay excluding, for example, overtime
or travelling expenses.
Contribution rates with effect from 01.04.14 are as follows:
Annual Pensionable Pay
(Full-time equivalent)
Up to £15,431
£15,432 to £21,387
£21,388 to £26,823
£26,824 to £49,472
£49,473 to £70,630
£70,631 to £111,376
£111,377 and over
Contribution
5%
5.6%
7.1%
9.3%
12.5%
13.5%
14.5%
Contributions are subject to tax relief and reduced National
Insurance contributions. NHS Tayside also makes a substantial
contribution towards scheme benefits – currently around 14% of
General Conditions 05.08
Annual Leave
References
Occupational Health
Clearance
Rehabilitation of
Offenders Act 1974
(Exclusions and
Exceptions) (Scotland)
Order 2003
Disclosure Scotland
Immigration, Asylum and
Nationality Act 2006
basic pay.
On appointment = 27 days (pro rata for part-time Staff) or 5.4
weeks per year.
After 5 years aggregated service = 29 days (pro rata for part-time
staff) or 5.8 weeks per year
After 10 years aggregated service = 33 days (pro rata for parttime staff) or 6.6 weeks per year
Public Holidays = 8 days (pro rata for part-time staff) or 1.6
weeks per year
All offers of appointment are subject to receipt of two satisfactory
references.
All offers of appointment to new entrants to the National Health
Service are subject to a medical examination.
Medical
examinations are arranged and undertaken by the Occupational
Health and Safety Advisory Service (OHSAS).
All current or spent criminal convictions, cautions, warnings or
any case pending must be disclosed prior to commencing in
employment as detailed on the application form.
Please note that having a conviction will not automatically debar
you from obtaining employment with NHS Tayside. Careful
consideration will be given to the relevance of the offence to the
particular post in question. However, if you are appointed, and it
is found that you did not reveal a previous conviction your
employment may be terminated.
The successful applicant will be required to become a member of
the Protecting Vulnerable Groups Scheme (PVG) in respect of
regulated work with protected adults and regulated work with
children.
It is a criminal offence for an employer to employ anyone who
does not have permission to live or work in the UK.
Shortlisted applicants will be asked to produce specific original
documentation at interview e.g. Passport, or full birth certificate
together with an official document giving the applicants
permanent National Insurance Number and name issued by a
Government Agency or a previous employer, as well as
photocopies of these documents.
Professional Registration/ you should have current and continuing professional registration
Induction Standards &
with NMC/HCPC and hold the appropriate qualification(s).
Code of Conduct
Smoking Policy
NHS Tayside operates a No Smoking Policy and smoking
is prohibited within NHS premises and grounds.
Applications
Completed forms should be returned to:
[email protected] quoting the job reference in the
subject line or to Human Resources Directorate, NHS Tayside,
Level 9, Ninewells Hospital, Dundee DD1 9SY
By closing date of 6th March 2015.
General Conditions 05.08