Acute Oncology Advanced Clinical Practitioner

5 months ago

London, United Kingdom King's College Hospital NHS Foundation Trust Full time

The post holder will provide expertise in their area of clinical practice, professional leadership and education in the field of Acute Oncology. This includes the ability to take a history, assess and examine as necessary, synthesise information and use clinical reasoning to diagnose and formulate a shared management/personalised care/support plan. The aim of the post is to ensure quality standards for AOS is delivered consistently throughout the trust and in line with South East London Accountable Cancer Network (SEL ACN) guidance and operational policy.

The post holder will ensure that patients presenting with metastatic malignancy of unknown origin (MUO) have access to rapid expert oncology input to avoid unnecessary, inappropriate investigations; are discussed in an MUO MDT; and receive rapid treatment for their disease and/or symptom control decisions.

The post holder will be expected to monitor the impact of the Acute Oncology Service, using a number of key metrics including length of stay; and work with the Lead Acute Oncology Clinician to ensure the Acute Oncology Service meets Peer Review Quality Standards and SELCA guidance/safety measures and is of a demonstrably high standard; and will influence patient care through expert clinical practice, management, leadership, education research, audit and professional activities

Provide early input in to coordination of care ensuring patients access right care at the right time and deliver high quality AOS specialist nursing care

Support the provision of the telephone triage advice for patients and health professionals with complications of their systemic anti cancer treatment and provide high quality advice to support self-care or prevent serious consequences by directing care (early recognition, better access to treatment, early discharge)

Continually review and audit pathways of care to ensure that neutropenic sepsis door - to -needle time is adhered to throughout the trust; patients are flagged up and rapid referral to appropriate specialty

Work as part of the ambulatory clinic for all patients requiring review post ED attendance or on demand presentation of symptomatic patients to avoid ED admission

Review patients as a part of the oncology daily ward round and ensure delivery of the appropriate care plan (ensure appropriate investigations are requested and reviewed or unnecessary Investigations are avoided; timely referral to palliative care team)

Act as a resource for colleagues within the Trust, those from other hospital Trusts

AOS service will offer direct access for community colleagues, providing advice on investigation and treatment pathways for new and suspected cancer diagnosis.

patient contacts a year and around 14,000 staff based across 5 main sites in South East London. The Trust provides a full range of local hospital
services across its different sites, and specialist services from King’s College Hospital (KCH) sites at Denmark Hill in Camberwell and at the
Princess Royal University Hospital (PRUH) site in Bromley.
King’s is committed to delivering Sustainable Healthcare for All via our Green Plan. In line with national Greener NHS ambitions, we have set net
zero carbon targets of 2040 for our NHS Carbon Footprint and 2045 for our NHS Carbon Footprint Plus. Everyone’s contribution is required in
order to meet the goals set out in our Green Plan and we encourage all staff to work responsibly, minimising their contributions to the Trust’s
carbon emissions, waste and pollution wherever possible.
The trust-wide strategy Strong Roots, Global Reach is our Vision to be BOLD, Brilliant people, Outstanding care, Leaders in Research, Innovation
and Education, Diversity, Equality and Inclusion at the heart of everything we do. By being person-centred, digitally-enabled, and focused on
sustainability, we can take Team King’s to another level.

Clinical Responsibilities

Work within the scope of their role, agreed and documented by their employer.

Work within and across multi-professional teams and draw on the expertise of all members (including health and social care) to support and meet the person’s needs and best interests to optimise the integration of their care.

Establish and maintain effective communication to ensure collaborative working with other professionals and agencies (e.g. members of the MDT, CNS, specialist palliative care, hospice, community palliative care teams, primary care, AHP, cancer centre, social services) to ensure seamless, streamlined patient care.

Manage and escalate medical emergencies appropriately.

Identify and act appropriately on red flags.

Assess, diagnose and collaboratively agree a way forward, including shared decision making and personalised care and support planning.

Manage medical complexity.

Complete episodes of care which may include referral for further assessment, treatment and care appropriately.

Work with people and where appropriate, carers, to access appropriate treatment

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