Detailed job description and main responsibilities

To undertake a HNA at key stages in the pathway in line with national directives, using a recognised tool, ensuring the patients physical, emotional, social, financial and spiritual needs are identified.

Use supportive conversations to develop and implement plans of care to meet the individual needs of patients/carers, ensuring they are reviewed and adapted in respond to the changing clinical situation. 

To attend the weekly specialist multidisciplinary team meeting as required, contributing to the multidisciplinary discussion and patient assessment/care planning decisions and co-ordinate actions from the MDT.

To review patients admitted as an emergency, working with the admitting team to agree and implement an appropriate management plan.

To provide advice on the management of symptoms, referring those with complex needs to the Macmillan Specialist Palliative Care Team.

To demonstrate enhanced practice in planning, implementing and evaluating nursing care, documenting the outcomes of consultations in the hospital notes and on the Somerset Cancer Database.

To provide Level 2 psychological support for patients/carers, referring patient with complex needs to the Macmillan Clinical Psychologist.

To lead on patient and carer communication issues and co-ordinate the patient’s pathway, acting as the main point of contact or responsible for nominating the main point of contact for the patient depending on their individual needs. 

To ensure patients receive specialist verbal and written information at the appropriate point in their illness experience to meet their individual needs.

To become acquainted with the local and regional care pathways including knowledge of contact points for referral and advice.

To identify and meet the educational needs of those living with lung cancer.

To demonstrate knowledge of the clinical trials relevant to lung cancer.

Ensure the palliative care needs of patients and their families are identified and met, referring patients with complex needs to the Macmillan Specialist Palliative Care Team.

To identify the patient’s Preferred Place of Care at the appropriate point in the illness experience, ensuing patients and able to be discharged to their place of choice where possible.

To identify patients suitable for the AMBER Care Bundle.

To ensure patients/carers are supported during significant consultations, acting as the patients advocate.

Promotes a culture that supports and enables self-management strategies, promoting the dedicated cancer You-Tube channel.

To work in line with the NMC Code of Professional Conduct

To promote collaborative working relationships and effective communication between all members of the cancer multidisciplinary team and across different boundaries of care.

To provide nursing advice and support to other health professionals related to lung cancer.

To identity own personal development needs to work at specialist level and take appropriate action to ensure that these are met, actively engaging with the learning and development opportunities offered by Macmillan Cancer Support. 

To maintain a personal professional profile clearly demonstrating evidence for revalidation.

To participate in the formal review process and plan future personal development and competencies to be achieved.

Make sure that people affected by cancer are aware that they are interacting with a Macmillan Professional and know the full range of resources and services available through Macmillan Cancer Support.

To record nursing interventions on the Somerset Cancer Database. 

To record data to demonstrate the effectiveness of the Macmillan Nursing Services.

To deputise for the Macmillan Clinical Nurse Specialists at local, regional and national meeting. 

Participate in Macmillan Service Reviews in order to drive service improvements. 

To participate in the self-declaration against national cancer standards and external peer review visits.

Implement the key elements of personalised care and support working with the Macmillan Personalised Care Transformation Lead. 

To support the Macmillan Clinical Nurse Specialists in the development of policies/clinical guidelines to enhance the nursing service. 

To participate in informal/formal education initiatives related to lung cancer.

To participate in clinical audit and research initiatives.

To promote best practice ensuring care in evidence based.

To contribute to the management of the service.