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Colorectal Clinical Nurse Specialist

Band 6

Main area
Band 6
Full time - 37.5 hours per week
Job ref
£32,306 - £39,027 PA
Salary period
07/12/2021 23:59

Join us at an exciting time for Gloucestershire Hospitals NHS Foundation Trust! We have recently been awarded an improved CQC rating of Good and are proud of what we’ve achieved. We have an ambitious plan for our journey to Outstanding and are looking for aspirational, committed individuals to join us, making a real difference to both staff and patients.

As a former winner of England for excellence award: Tourism destination of the year, the beautiful city of Gloucester and the scenic regency spa town of Cheltenham are fantastic places to work and live.

As a hospital Trust we are currently involved in over 100 clinical trials and studies, whilst also providing acute elective and specialist services to a population of over 620,000.

By joining Gloucestershire Hospitals NHS Foundation Trust new colleagues can look forward to a warm welcome and a future full of opportunities and support.


Job overview

We are looking for an individual who has a special interest in cancer care. An individual who is dynamic, organised, flexible, reliable & compassionate to support patients and their families /carers with a colorectal or anal cancer.


As an effective core member of the colorectal Multidisciplinary Team (MDT), you will work proactively to ensure that the every

need and expectation of our patient’s and that of their families and carers are met through timely intervention and effective communication throughout their treatment pathway.


You will be responsible for working autonomously, making critical holistic clinical decisions through assessment, monitoring and planning. Facilitating timely investigations, co-ordinating care & providing information to empower patients to make informed choices.

Main duties of the job

Your role will require you to;



Deliver nurse-led clinic follow-up and needs assessment clinics.




Utilise specialist nursing skills to assess the physical and psycho-social needs of patients to enable an appropriate plan of safe, evidence based specialist care.


 Provide both expert clinical advice to patients and carers through an accessible service and continued provision of nurse led in-patient and outpatient services.


Work collaboratively, in partnership with the multidisciplinary team, develop and advise highly specialised programmes of cancer care for patients


Be integral to coordinating the patient pathway to ensure patients receive timely treatment and prevent breaches within Gloucestershire and liaising with colleagues in tertiary centres to support pathways as appropriate.


Assist patients to contribute to the development of their own care plan, encourage self -management and empowering them to make decisions at times where there may be anxiety and uncertainty.


Communicate at an advanced level with patients, carers and health professionals in order to disseminate complex nursing and clinical information which may be of a distressing nature.


In accordance with the Data Protection Act, retrieve, analyse and interpret information from the computer-based systems. Maintain accurate and contemporaneous records

Working for our organisation

Our services are carried out at both Gloucestershire Royal Hospital and Cheltenham General Hospital. We are a busy colorectal unit with over 400 new colorectal cancers diagnosed per year. The service is supported by a team of Consultant Colorectal Surgeons & Oncologists, 5 Clinical Nurse Specialists ,a Macmillan colorectal metastatic ANP and cancer support worker. We are a friendly and dedicated service and passionate about excellent patient experience



You will be required to work / communicate closely with other specialities such as Bowel cancer screening, Stoma Care, Oncology, Gastroenterology, Palliative care AHP and community health care professionals at both Gloucester and Cheltenham Hospital sites.



You must be willing to work between Gloucester Royal Hospital and Cheltenham General Hospital sites and on occasion have flexibility with your working day / hours in order to support the service during periods of Annual Leave or study.

Detailed job description and main responsibilities


You will be required to:


 Demonstrate and promote a holistic, patient centred style of clinical practice.



Provide an interface between medical and nursing disciplines whilst developing, supporting and contributing to nursing practice.


Promote timely care and transitions between services and hospital Trusts.






You will effectively prioritise the co-ordination of in-patient and out-patient care within a specialty team optimising the patient pathway and experience.







1st level Registered Nurse with relevant post registration clinical experience in colorectal or General surgery; Oncology or Palliative care.


Possession of excellent communication skills.  Have already or be willing to undertake Advanced Communication Skills training.


Possession of Independent and Supplementary Prescriber qualification or ability to work towards this qualification.


Possession of recognised qualification covering physical examination and clinical reasoning or ability to work towards this.


Possession of radiology image requesting competency or willingness to work towards this.


Ability to perform independent assessments of patients within nurse led clinics & telephone clinics & manage outcomes appropriately.



Evidence of post registration qualifications or equivalent level of skill gained through experience, relevant to the patient group, with the aim of self-development and improving clinical practice and patient outcomes.


Ensure personal and professional development is progressed through individual performance development review.


Be pro-active in Revalidation process



Ability to work both independently and as part of a team.


IT skills, including the use of e-mail, databases and word applications. Able to input and retrieve patient information from computer based systems.


Knowledge and understanding of research and evidence based practice, with the ability to participate in audits and research.





Be integral to the co ordination and delivery of timely and specialised safe care with continuity for patients, their carers and clinical teams.



Use specialist nursing skills to assess the physical and psycho-social needs of patients to enable an appropriate plan of safe, evidence based specialist care.


Use specialist/ advanced nursing skills and knowledge to perform nurse-led clinics such as pre-assessment / cancer follow-up clinics.



As a core member of the MDT you will contribute to the often complex decisions involved in highly specialised programmes of cancer care. You will act as an advocate to communicate the wishes of patients and their families and carers.


Assisting patients to contribute to the development of their own care plan, empowering them to make decisions at times where there may be anxiety and uncertainty





Use specialist/ advanced nursing skills & knowledge to perform assessments of in-patients & out-patients with a confirmed cancer or potential cancer diagnosis.


Use specialist nursing skills to perform telephone assessments of patients within their homes to manage their needs, optimise quality of life and avoid hospital admissions. 




Use specialist skills to request & interpret patient investigations and initiate necessary actions / ongoing management.


Use advanced communication with patients / carers and health professionals in order to disseminate complex nursing and clinical information which may be of a distressing nature ie diagnosis of cancer, results affecting prognosis, death of a patient, patient /relative complaints.



Providing training assessment and support within the clinical area for pre-registration students qualified nursing, AHP and medical teams.


Contribute to specialist area research, audits and develop programmes or activities within the framework of clinical governance at local level, in order to advance and contribute to existing knowledge.


Contribute to and implement policies and procedures for specialist area.


Contribute to and be actively involved in initiatives to enhance patient experience and outcomes.


In accordance with the Data Protection Act, retrieve, analyse and interpret information from the computer-based systems. Maintain accurate and contemporaneous records.


Be willing to work between Gloucester and Cheltenham hospital sites.


Be willing to have flexibility with your working day / hours.






Utilising theoretical and practical skills to manage a caseload.


Working within a multi-disciplinary team and taking the lead in providing collaborative care planning.


Working independently & making decisions regarding patients’ wellbeing.


Managing own time effectively to ensure workload is completed during contracted hours, especially when workload maybe unpredictable, and to remain focused throughout.


Managing own psychological wellbeing when frequently involved in distressing situations.


Ensuring communication and actions between services and Trusts are timely and efficient.


Practice within a challenging and changing clinical environment using innovative solutions and resources.







Frequent interruptions from the telephone or bleep enquiries, e.g. for advice or referral of new patients to assess, causing the work pattern to be unpredictable additional to planned work.


Required to work within recognised Manual Handling Guidelines.

Person specification


Essential criteria
  • Registered nurse on relevant part of the NMC register.
  • Evidence of ongoing professional development and clinical experience ie cancer or palliative care module.
  • Advanced Communications skills course.
  • Substantial experience at Band 5 with specialist clinical skills and experience within relevant area of practice eg colorectal / oncology/palliative care.
  • Leadership and management experience.
  • Acts as a role model and are able to lead by example to ensure the Trust’s. values and behaviours are reinforced throughout their area of practice.
  • Demonstrates ability to keep up to date with professional issues that influence clinical practice, management, education and research.
  • Able to contribute to the development, implementation, monitoring and evaluation of policies/protocols/guidelines relevant to area of practice.
Desirable criteria
  • Evidence of Masters level learning /demonstrate willingness to undertake.
  • Non-medical prescribing or willingness to undertake
  • Physical assessment and clinical reasoning module or willingness to undertake
  • Level 2 or above psychological skills training.
  • Recognised teaching qualification.
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Applicant requirements

You must have appropriate UK professional registration.

This post is subject to the Rehabilitation of Offenders Act 1974 (Exceptions) Order 1975 (Amendment) (England and Wales) Order 2020 and it will be necessary for a submission for Disclosure to be made to the Disclosure and Barring Service.

Documents to download

Apply online now

Further details / informal visits contact

Katie Mitten
Job title
Lead Colorectal CNS Gloucestershire Hospitals
Email address
Telephone number
0300 422 5617
Additional information

Above contact number is for Gloucester Royal Hospital

0300 422 3586 - Cheltenham General Hospital