The James Paget University Hospitals NHS Foundation Trust serves a population of around 250,000 people in the Great Yarmouth, Lowestoft and Waveney areas. The Trust provides an integrated hospital and community children’s service. Patient and staff experience is important to us and these are the behaviours we live by: Putting patients first Aiming to get it right Recognising that everybody counts Doing everything openly and honestly ‘Prior consideration will be given to NHS At Risk staff within East of England' Job overview We are looking for an enthusiastic individual to fill the position of the Lead Breast Clinical Nurse Specialist. As a Lead Breast Clinical Nurse Specialist you will be expected to manage a team of Breast care Specialist Nurses, offer your clinical expertise, advice and clinical skills, to ensure the smooth running of the department and make sure that high standards of care are delivered and maintained. Advert The post holder will work closely with the multidisciplinary team in hospital and the community to ensure a co-ordinated quality service and will be actively involved in education, audit and research. The post holder will engage and lead discussions in multidisciplinary team meetings. As a Senior nursing post in the Breast Service, the role will require role modelling and clinical expertise to work alongside the MDT to deliver across the pathway from Diagnosis to discharge. The post holder will be an influencer, leader of change and advocate for the personalised care agenda to ensure patients get a holistic approach across the pathway. The Post holder will be able to lead and develop nurse led services, service development and manage stratified follow up to re design and sustain breast services. Working for our organisation We want to attract the best and brightest people to work with us and that means we will look after you from the moment you apply for a role at the Trust and throughout your career with us. Our staff are central to everything we do, and we believe that investing in you is crucial if we want to enable you to reach your full potential. Detailed job description and main responsibilities Lead the ongoing development, coordination and evaluation of the Breast Nursing Service in partnership with Consultant Breast Surgeons and Surgical Matron Ensure clinical pathways reflect best practice, national guidelines and Trust policies. Lead on nurse‑led initiatives to enhance patient experience, pathway efficiency and service outcomes. Contribute actively to MDT and SMDT meetings, ensuring timely progression of patients through diagnostic and treatment pathways. Demonstrate a comprehensive understanding of national and local nursing strategies, including Compassion in Practice and the 6Cs, and embed these principles into daily practice. Ensure the delivery of safe, evidence‑based and measurable care aligned with clinical quality indicators, patient experience standards and cancer performance targets. Use visual performance tools, audit findings and patient feedback to monitor service effectiveness and promote shared learning. Lead reviews of systems and processes, implementing changes to improve patient flow, reduce variation and minimise delays in care. Oversee compliance with NMC (2020) professional standards, Trust documentation requirements, safeguarding responsibilities and risk‑management processes. Deliver expert, holistic breast oncology nursing care, ensuring timely assessment, diagnosis, treatment planning, and supportive care. Provide specialist nursing interventions within nurse‑led clinics, diagnostics, survivorship, and palliative care pathways. Ensure accurate assessment, planning, implementation and evaluation of patient care, with high‑quality record keeping. Support shared decision-making and empower patients and their carers to actively participate in their care. Foster strong working relationships across surgical, oncology, radiology, pathology and community teams. Communicate effectively with patients, relatives, and carers, adapting communication styles to overcome barriers and ensure clarity. Act as a role model for excellence in handling concerns, compliments and complaints, ensuring early resolution and learning Lead annual appraisals, personal development planning and competency development for nursing staff within the Breast Service. Promote a learning environment that supports mentorship, clinical supervision and career progression for all staff and students. Use research and evidence‑based practice to inform service development and clinical decision‑making. Ensure staff complete mandatory and role‑specific training, including safeguarding, infection control and manual handling. Ensure efficient and safe use of equipment, facilities, and consumables, demonstrating sound financial and resource management. Oversee safe environment standards, including infection prevention, health and safety, and incident reporting requirements. Contribute to recruitment, selection and retention of the breast care nursing workforce. Manage staff sickness, absence and performance in accordance with Trust policies. Ensure compliance with Trust Health & Safety policies, risk assessments, incident reporting and implementation of corrective actions. Maintain safe systems of work for moving and handling, updating risk assessments and ensuring staff competence. Ensure uptake of mandatory training related to health & safety, safeguarding and infection prevention. The James Paget University Hospitals NHS Foundation Trust recognises the requirement to promote health and reduce ill-health. The Trust is committed to the principles of improving working lives through a number of initiatives such as job share, flexible working and the development of a culture of openness and transparency. The Trust is committed to ensuring that no job applicant or employee receives less favourable treatment on the grounds of their age, disability, gender reassignment, marriage and civil partnership, pregnancy and maternity, race, religion or belief, sex, and sexual orientation. ‘Prior consideration will be given to NHS At Risk staff within East of England' Tier 2 Sponsorship : We are pleased to consider applicants who require Tier 2 sponsorship to work in the UK but it is unlikely that we would be able to appoint if a suitably qualified, experienced and skilled UK/Right to work candidate is available. Applying for entry clearance into the UK, must provide a criminal record certificate from each country they have resided continuously or cumulatively for 12 months or more in the past 10 years. Adult dependants (over 18 years old) will also be subject to this requirement. Visa and Immigration If you are wishing to apply for this role and would require sponsorship (this includes if you are already in a sponsored post and looking to change employer), you can determine the likelihood of obtaining a Certificate of Sponsorship for this post by assessing your circumstances against criteria specified on the gov.uk website https://www.gov.uk/skilled-worker-visa/your-job. James Paget Hospitals uses tools to screen any applications generated by Artificial Intelligence (AI). Please check your account regularly under “My Applications” to view the progress of your applications. If you do not hear from us within 4 weeks, please assume your application has been unsuccessful. In submitting an application form, you authorise the Trust to confirm any previous NHS service details via the Inter Authority Transfer (IAT) process. Please note that should we experience a high level of interest in this post, the vacancy may be closed prior to the stated closing date.