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NHS GRAMPIAN
JOB DESCN
1. JOB IDENTIFICATION
Please complete all sections apart from the jobholder reference and note that the job holder(s)
names should be listed. This page will be removed before submission to the Matching Panel as it
is intended that the job descriptibe anonymous. The Aenda for Change Team will therefore
devise a job reference number system to link job descriptolder(s).
Job Title:
Clinical Nurse Specialist
Skin Cancers
Department(s):
Location:
Dermatology/ Plastic Surgery,
Aberdeen Royal Infirmary
Hours:
37.5 hours per week
Contract:
Fixed Term for 2 Years
Job Reference:
SG7176
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2. JOB PURPOSE
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To funon as a lead member of the multi-disciplinary team by co-ordinating and providing a
high quality and effective specialist nursing service for patients with skin cancers throughout
the course of their illness, integrating both acute and palliative care.
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To provide professional and clinical leadership in the speciality of skin cancers across NHS
Grampian, and act as a recourse of clinical expertise for nursing and medical colleagues.
The individual is expected to motivate staff to provide high standards of care by acting as a
role model.
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To be responsible for providing specialist education and training programmes for health care
professionals.
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To ensure practice if clinically effective and informed in accordance with the NMC code of
Professional Conduct. To implement and undertake research and audit activities to ensure
evidence based practice in the specialist area.
3. ORGANISATIONAL POSITION
Nurse Director
NESCCAG
Manager
Nurse Manager unit 4A
Clinical Nurse Specialist
Skin Cancers
______________________
Line Management
_______________
Professional Line
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4. SCOPE AND RANGE
The postholder has responsibility for the provision of care for newly diagnosed and existing skin
cancer patients in NHS Grampian under the supervision of Dermatology and Plastic surgery
consultants. In Grampian, approximately 100 new cases of malignant melanoma are diagnosed per
year. The number of non-melanoma skin cancer cases in Grampian is approximately 800 – 1000 per
year.
The postholder has direct responsibility for developing and implementing nurse led services within
the overall service provision for patients with skin cancers.
5. MAIN DUTIES/RESPONSIBILITIES
Advanced Nursing Practice:
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Improves the process of care for patients with skin cancer throughout their pathway.
Applies specialist knowledge, competencies and clinical decision making skills to enhance
patient care.
Assesses, diagnoses and manages complex problems with agreed protocols.
Leads and acts as a specialist resource in skin cancer nursing by promoting the service and
increasing the awareness of the cancer in acute and community to enhance standards of
care.
Responsible for ensuring that the quality of care is reviewed, assessed, implemented and
monitored to maintain standards of care.
Enables patients to take responsibility for their health, wellbeing and future lifestyle by
practising in an open, transparent and inclusive manner, thereby ensuring patients have the
relevant information to participate in decisions about their care.
Leadership and Management
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Acts as an exemplary professional role model for leading skin cancer nursing services.
Take a lead role in the development and implementation of guidelines and protocols for skin
cancer are to promote consistency in delivery of evidence based practice. Provide nursing
expertise to advise on reviewing and enhancing skin cancer nursing services, were concerns
exist about quality.
Direct and develop, in conjunction with others, the future service provision and planning for
skin cancers.
Education
 Lead on the assessment of training and education needs relating to care of patients with skin
cancers, and facilitate the development of educational provision to ensure that nurses are
professionally competent to deliver care.
 Develop, deliver and contribute to multi-disciplinary education and training programmes to
promote a wider understanding of skin cancers in both acute and community settings.
 Teach, advise and patients about the condition, treatment options and management of
symptoms and treatment side effects.
 Promote and advise on health and lifestyle activities to enhance health and well-being.
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Research, audit and evaluation
 Lead clinical audit of skin cancer nursing services to inform practice, and service
development and redesign.
 Act as a clinical collaborator for research programmes to support best practice which leads to
continuous improvements in care.
 Critically analyse the relevance of appropriate research related to practice and encourage
dissemination and utilisation at a local level.
 Evaluate effectiveness of role in relation to patient outcomes, service needs and professional
requirements.
 In collaboration with colleagues, implement actins arsing from NHS Quality Improvement
Scotland, cancer reviews and cancer guidelines.
6. SYSTEMS AND EQUIPMENT
 Computer and Microsoft packages – email, letter writing documents.
 Specialist database – collect and input patient data which allows postholder to determine
workload and activity.
 Powerpoint presentation for teaching purposes.
 Intranet/internet – access to local and national NHS sites, government sites, and nursing and
medical databases to continually develop evidence based practice
 Videolinking.
 Laboratory and radiology – systems – access to clinical results
 Telephone & mailbox – answering machine, fax, bleep, photocopier.
 Medical devices, various infusion systems
7. DECISIONS AND JUDGEMENTS
 The postholder is expected to make clinical and professional autonomous decisions on a
daily basis,
 The postholder is expected to work closely with dermatology and plastic surgery consultants
to provide counselling, education and certain types of treatments within the multi-disciplinary
team.
 Informing clinical decision making with regard to patient care, through monitoring of the
patients’ condition and acting on clinical judgements with active and continuous liaison with
respective consultants.
 Assesses, plans, implements and evaluates individual complex needs with the provision of
practical, informational and emotional support and symptom control for patients and their
carers at all stages of the skin cancer pathway from pre-diagnosis, through diagnosis and
treatment, to palliative care, end of life care and into bereavement.
8. COMMUNICATIONS AND RELATIONSHIPS
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Members of the multi-disciplinary teams of dermatology and plastic surgery involved in the
planning and delivery of skin cancer services – Grampian, Orkney & Shetland.
Other cancer nurse specialists in acute and community settings.
Hospital Specialist Palliative Care team
Unit Nurse Managers and Nurse Managers
Voluntary Agencies
Social Work
Education Providers
Laboratory Staff
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Radiology staff
Allied Health Professionals
Patient and Public Involvement Groups
Regional and Skin Cancer Nursing Forums
9. PHYSICAL AND EMOTIONAL DEMANDS OF THE JOB
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Supporting self and colleagues through stressful situations
Communicating with distressed/anxious patients and carers
Communicating complex issues with multi-disciplinary team
Concentration required due to the nature of the clinical nurse specialist role
Recognising and responding to ethical issues that may arise
Managing and dealing with constant queries from patients, carers and healthcare
professionals
10. MOST CHALLENGING/DIFFICULT PARTS OF THE JOB
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Supporting self and colleagues through stressful situations
Achieving a balance between the demands of direct patient care within existing resources
and job plan
Improving the process of care for patients with skin cancer across care settings and regions
Improving communications between the professions involved in the care and treatment of
patients with skin cancer
Addressing the equality and diversity needs of patients and staff
Implementing change effectively in a multi-disciplinary environment
11. KNOWLEDGE, TRAINING AND EXPERIENCE REQUIRED TO DO THE JOB
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First level registered nurse with current Nursing and Midwifery Council Registration
Extensive post registration experience in cancer care
Educated to degree level – Masters Degree level is desirable
Evidence of teaching, supervision, audit ad research
Commitment to lifelong learning and ongoing personal development
Effective listening and interpersonal skills
Time management skills and ability to prioritise workload
The postholder will be required to demonstrate excellent team working skills with ability to
work using own initiative
Evidence of effective problem solving
IT skills
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NHS GRAMPIAN
PERSON SPECIFICATION
The Person Specification should meet the demands of the job and comply with current legislation.
Setting unnecessary standards may, for example, unfairly discriminate against one sex, the disabled or
minority racial groups. Applicants should be assessed in relation to their ability to meet the real
requirements of the job as laid down in the job description. Shortlisted candidates MUST possess all the
essential components as detailed below.
POST/GRADE:
Band 7 Skin Cancer specialist Nurse
LOCATION/HOSPITAL
Plastic surgery and Dermatology
WARD/DEPARTMENT:
Aberdeen Royal Infirmary
ATTRIBUTES
ESSENTIAL
First Level Registered Nurse with
current NMC Registration.
DESIRABLE
Degree level training or
experience
Experience
 Substantial post registration
experience to include extensive
recent acute experience.
 Experience of leadership.
 Cancer nursing experience
Special Aptitude and
Abilities
 Computer literacy.
 Excellent communications skills.
 Managing time and prioritising
workload.
 Diplomatic and assertive.
 Evidence of supporting others
within the clinical setting.
 Knowledge and use of clinical
governance and risk
assessment to improve quality
and service development.
 Good sense of humour.
 Ability to cope in stressful
situations.
 Calm, confident with a common
sense approach
 Good health record with no
restriction in movement.
 Cope with sudden intense effort
and a rapidly changing
environment.
 Physical dexterity to carry out
clinical diagnostic procedures.
*clinical skills in assessment,
diagnosis and treatment of
acute patients.
Qualifications
Disposition
Physical Requirements
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Particular
Requirements
of the Post
 Determination and persistence.
 Dynamic and well motivated.
 Ability to motivate and lead
others.
 Flexible attitude and approach
to work.
MAJOR RISKS IN DOING THIS JOB
Please indicate the major risks the job holder could face in doing this job e.g. lifting patients/objects,
working with hazardous substances, dealing with violence and aggression..
If there are no major risks for the job holder please tick this box
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