 
        
        Job overview
The Cancer and Surgery Directorate at Guy's and St Thomas’s is seeking a qualified Breast Advanced Nurse Practitioner to join the Breast Unit at Guy’s Hospital. The post is initially to cover maternity leave for a period of 12 months however there may be opportunities for this to be extended.
The post holder will be an experienced practitioner, acting within their professional boundaries. The person will have the skills associated with history taking, physical assessment, diagnosis, treatment, and evaluation of care as well as nurse prescribing. They will use their knowledge and skills to provide expert, efficient and safe patient care within the Breast Unit.
The Post holder will demonstrate clinical judgement and critical decision-making skills based upon evidence-based practice to provide safe and effective care.
Central to the post will be to work collaboratively with consultants and other members of the Breast MDT.
We would welcome applications from qualified ANP that would like to develop their skills in within the Breast Service. We would provide supervision and training to allow the post holder to practise independently in this area.
Main duties of the job
·
 1. Facilitate the provision of high-quality care for all patients attending the Breast Units diagnostic, one stop clinics
 2. Provide expert patient care with initial history taking, clinical assessment, ordering investigations and interpreting results within the rapid diagnostic and assessment unit.
 3. Act as an autonomous practitioner in managing and providing advice regarding breast conditions
 4. Maintain the safe and efficient care for patients on remote surveillance on the Personalised Stratified Follow Up (PSFU) pathway, liaising and working with the PSFU team
Working for our organisation
 Guy’s & St Thomas NHS Foundation Trust
Guy’s and St Thomas’ NHS Foundation Trust comprises five of the UK’s best known hospitals – Guy’s, St Thomas’, Evelina London Children’s Hospital, Royal Brompton and Harefield – as well as community services in Lambeth and Southwark, all with a long history of high quality care, clinical excellence, research and innovation. 
We are among the UK’s busiest, most successful foundation trusts. We provide specialist care for patients including heart and lung, cancer and renal services as well as a full range of local hospital and community services for people in Lambeth and Southwark.
We strive to recruit and retain the best staff as the dedication and skills of our employees lie at the heart of our organisation and ensure that our services are of the highest quality, safe and focused on our patients.
Organisational Values:
Our values help us to define and develop our culture, what we do and how we do it. It is important that we all understand and reflect these values in our work. We are:
Caring – we put patients first 
Ambitious – we innovate and strive for excellence 
Inclusive – we respect each other and work collaboratively 
Our values and behaviours framework describes what it means for every one of us in the Trust to put our values into action. A summary of our framework can be found on our Trust jobs pages and our intranet.
Detailed job description and main responsibilities
·To practice at an advanced level of professional autonomy and accountability within the multidisciplinary breast team adhering to breast unit guidelines, NICE guidelines and NMC Code of Conduct.
·Demonstrate expert knowledge and understanding of breast cancer, benign breast diseases and associated treatments
·For all patients perform comprehensive assessment, differential diagnose, plan, implement and evaluate individual interventions resulting in safe and appropriate management, referral or discharge from the diagnostic clinic
·To prescribe according to the Trust Prescribing Policy and an agreed scope of practice.
·To provide and request diagnostic interventions in response to needs of patients, for example, fine needle aspiration, core biopsy, punch biopsy and in keeping with breast unit guidelines
·Be able to explain these clearly, including the concept of risk, to patients in a clear and confident manner.
·Produce accurate, contemporaneous, and complete records of patient consultation, consistent with legislation, policies and procedures.
·Prioritise, organise and manage own workload in a manner that maintains and promotes quality.
·Take responsibility for own learning and performance including participating in clinical supervision and acting as a positive role model, as well as continuous preparation for annual review
·Contribute to the development of local guidelines, protocols and standards.
Person specification
Qualifications
Essential criteria
 5. RN
 6. Post Graduate Diploma (PgDip) or Masters (MSc) qualification in Advanced Clinical Practice or HEE accepted equivalence.
 7. Independent prescriber
Desirable criteria
 8. Qulification in Oncology/SACT/Breast conditions
Experience
Essential criteria
 9. Evidence of recent academic study (last 5 years).
 10. Recent experience in Oncology/Breast conditions
Desirable criteria
 11. Experience of working autonomously at an advanced level
Skills
Essential criteria
 12. evidence of delivering change management, leadership skills and autonomous practice
 13. Evidence of research, education leadership, Quality Improvement, stakeholder engagement and influencing the development and improvement of practice,
Guy’s and St Thomas’ celebrates, respects and values the diversity of its staff and patients. We review our policies, procedures and practices to ensure that all employees, patients and carers are treated equitable according to their needs. We are actively committed to ensuring that no one who applies for a job, works or study’s at the Trust, or accesses our services is discriminated against on the grounds of race, ethnicity, nationality, disability, religion or belief, age, gender identity, gender reassignment, sexual orientation, pregnancy and maternity/paternity, or marital/civil partnership.