Associate Clinical Nurse Specialist - Urology
Associate Clinical Nurse Specialist - Urology, Band 6
The closing date is 27 January 2026
This post holder will work alongside the team to deliver highly specialist and personalised care to both cancer and benign urology patients.
The post holder will be help to deliver a range of nurse led clinics.
The post holder will be a point of contact for patients.
The post holder will assist in the delivery of complex treatments under the supervision of the senior team.
Main duties of the job
To work clinically as an Associate Specialist Nurse in Urology, delivering and maintaining high standards of care to patient with benign and malignant urology disease.
To work with and support the Band 7 Urology CNS and the Band 8a Urology Nurse Practitioner contributing to the development and promotion of the nursing service ensuring the delivery of high quality, cost effective care.
To educate staff in understanding the care requirements of patients undergoing investigations and treatments and ensure that the physical and psychological needs of the patients and their families are met.
To provide holistic care for patient's undergoing investigation and treatment on their entire patient pathway, undertaking Holistic Needs Assessments on all cancer patients.
Ensure efficient pathway management according to the relevant 18 week and cancer targets, ordering tests, screening referrals and arranging treatments to facilitate this.
To promote and maintain effective communication with the multi-disciplinary team, patient and carers.
To undertake Trial without catheter, bladder instillations, intra-vesical chemotherapy in the clinic setting and ward setting if required offering continence advice as required.
About us
Chelsea and Westminster Hospital NHS Foundation Trust provide services from two main hospitals, Chelsea and Westminster Hospital and West Middlesex University Hospital, and a number of clinics across London and the South-East.
We have nearly 7,000 members of staff that are PROUD to Care for nearly one million people.
Both hospitals provide full clinical services, including full maternity, emergency and children's, in addition to a range of community-based services across London, such as award-winning sexual health and HIV clinics.
We're one of the best performing Trusts in the country. We're also one of the top trusts to work for -our staff says they're engaged, motivated, and would recommend us as a place to work and receive treatment.
Our Trust has been rated by the Care Quality Commission as 'Good' in all five of the main domains of safe, effective, caring, responsive and well-led, giving us an overall rating of 'Good'. We've also been awarded an 'Outstanding' rating for 'use of resources' by an NHS Improvement inspection.
Our facilities are some of the best in the country. We have been investing significant capital year on year in our estate.
We have recently completed a £30m expansion of our adult and neonatal critical care facilities at Chelsea and Westminster and are planning an ambitious £60m development of an Ambulatory Diagnostics Centre at West Middlesex.
Job responsibilities
Clinical
* Co-ordinating the care of patients diagnosed with urological cancer to ensure prompt treatment in line with national access standards of 18 weeks and cancer targets.
* Participating in the weekly multidisciplinary team meetings and working with the urology team to help co-ordinate the patients' pathway, informing the patients' GPs of decisions made and informing patient when a cancer diagnosis has been ruled out.
* Undertake screening of referrals to ensure efficient use of clinic time and minimisation of wasted clinic slots.
* Undertaking intra-vesical chemotherapy and immunotherapy for superficial bladder cancers and then arranging appropriate follow up according to evidence based protocols.
* Undertake bladder instillations for benign disease, trial without catheters and complex catheter changes.
* After appropriate training, requesting diagnostic investigations like blood tests and endoscopic examinations.
* Prepare patients for procedures over the telephone, ensuring they are suitably prepared for out-patient procedures.
* Offer advice on the wards in relation to urology nursing care/continence issues.
Leadership/Networking
* Providing assistance to all staff to enhance patient care.
* Engaging in effective communication, involving all members of the multidisciplinary team.
* Fostering the continued development of the urology service within the Trust.
* Working across care settings to achieve optimum continuity of care of patients with catheters and urological disease providing advice to ward staff and community staff.
* Acting as an effective role model.
* Involvement with urology nurses within the Royal Marsden Partners to share learning and identify best practice.
* To be familiar with national, professional and local quality issues relevant to the delivery of nursing services, e.g. Clinical Governance, National Peer Review.
Service Development
* Keeping own knowledge up to date and taking personal responsibility for self- development and personal growth.
* Identify own personal development needs as part of annual appraisal process.
* Establish and maintain personal clinical supervision and mentoring.
* Make recommendations about how to further improve the service.
Professional
* The post holder is expected to conduct themselves in a professional manner according to the NMC Code of Conduct and in accordance with vision and values espoused by the Trust.
* The post holder will adhere to and promote Trust and Departmental Policies, Procedures and Guidelines related to both professional practice and general issues i.e. Health and Safety, Equal Opportunities etc.
Communication
* Ensure all communication, which may be complex, contentious or sensitive, is undertaken in a responsive and inclusive manner, focusing on improvement and ways to move forward.
* Ensure all communication is presented appropriately to the different recipients, according to levels of understanding, type of communication being imparted and possible barriers such as language, culture, understanding or physical or mental health conditions.
PLEASE SEE JD/PS FOR FULL DUTIES OF THE POST
Person Specification
Education and Qualifications
* Diploma/Degree in relevant area
* Demonstrates evidence of ongoing continuous professional development
* Advanced communication course
Experience
* Experience of undertaking Trial Without Catheter
* Able to demonstrate effective consolidation of nursing knowledge & practice during working as a Band 6
* Understanding equality and diversity and how to apply to self and other.
* Knowledge of access standards relating to 18 weeks and cancer standards
* Knowledge of intravesical drug instillations
Skills and Knowledge
* Excellent interpersonal, both verbal and written
* Confident communicator over the telephone
* Ability priorities workload
* Knowledge of clinical governance & its application
* Ability to work autonomously & within teams
* IT literate in Microsoft office package
* Excellence problem solving skills
* Skilled negotiator
Disclosure and Barring Service Check
This post is subject to the Rehabilitation of Offenders Act (Exceptions Order) 1975 and as such it will be necessary for a submission for Disclosure to be made to the Disclosure and Barring Service (formerly known as CRB) to check for any previous criminal convictions.
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