Advanced Nurse Practitioner

Job Summary

Advanced practitioner with highly developed knowledge, skills and clinical expertise in diagnosis, management and treatment of Urological Cancer such as Haematuria, Bladder and Prostate.

Main duties of the job

• To work at an advanced level, practising autonomously and independently (as well as within a multi-disciplinary team), to deliver a Nurse-Led Assessment and Diagnostic service for Urological Cancers
• To act as facilitator, educator and role-model in delivering a comprehensive Urological Cancer service
• To work collaboratively with clinical and nursing colleagues, community teams and designated health and social care organisation in delivering appropriate patient centric treatment and care
• Working at an advanced level draw from a diverse range of experience and knowledge in making decisions around required interventions and treatment, including prescribing medication
• Promote a high standard of advanced specialist nursing by initiating and co-ordinating the assessment, planning, delivery and evaluation of the holistic needs of patients/ families through evidence-based practice following agreed policies, protocols and guidelines

About Us

The Princess Alexandra Hospital NHS Trust (PAHT) is proud to care for the communities of West Essex, delivering safe, compassionate, and high-quality services. We are part of the Neighbourhood Wave; a national programme thats changing how care is delivered by focusing on prevention, early support, and more joined-up services across health, social care, and the voluntary sector. This means were working more closely with local partners to bring care closer to home and support people to live healthier, more independent lives. Were a supportive and inclusive organisation that values its people. We offer development opportunities, flexible working, and a strong focus on wellbeing. As a Disability Confident and equal opportunities employer, we welcome applicants from all backgrounds and experiences. Join us and help shape the future of care in West Essex.

Details

Date posted 14 January 2026
Pay scheme Agenda for change
Band Band 8a
Salary £57,888 to £64,880 a year
Contract Permanent
Working pattern Full-time

Job locations

St Margaret\’s Hospital
Epping
Essex
CM16 6TN

Job Description

Job responsibilities

• Work clinically to optimise health and wellbeing, demonstrating autonomous decision making
• Initiate and contribute towards a multi-disciplinary/ professional approach in the management of Haematuria, Bladder and Prostate Cancer
• To provide up-to-date information, support and advice to patients and their carers who have a diagnosis of Haematuria, Bladder and Prostate Cancer
• Sensitively handle difficult situations that may arise, involving patients, carers and healthcare professionals.
• Act as the patients key worker by forging close links across both primary and secondary pathways, co-ordinating seamless care delivery
• Utilise evidence-based information through a variety of communication media.
• Maintain adequate patient documentation to NMC requirements for all patients seen and advice given in any practice setting and contribute to clinical activity/data collection as required
• Work collaboratively with Consultant Urologists within the multidisciplinary team, and take the lead where appropriate, in identifying innovative ways to improve the service and patient care.
• Cross-cover with the existing urology nurse teams during periods of annual leave or sickness
• Act as the patients advocate where required
• Appropriately define boundaries in practice.
• Work autonomously to provide evidence-based, comprehensive, advanced assessment, treatments and management of patients with highly complex needs, and to be able to instigate care pathways
• Work autonomously in undertaking relevant diagnostic procedures such as Cystoscopy and Prostate Biopsy, organising relevant radiological investigations and blood screening
• Providing specialist care and exercising professional and clinical leadership skills to promote best practice
• Work collegiately with the lead nurse and service manager to ensure the efficient and safe provision of care within the 2ww and cancer patient pathways.
• To provide reports on service delivery, patient outcomes and key performance indicators on a regular basis to the Surgical Triumvirate
• To work with and refer appropriately to other agencies to enable identified patients to be managed in a pro-active way, with the aim of improving the overall patient and care experience.
• To foster a culture that encourages continuous learning and develop skills in quality improvement
• To be a champion for the Haematuria, Bladder and Prostate Cancer service, and empower team members to enhance patient care delivery.
• Critically analyse research related to practice, and use findings to influence and change practice where applicable
• To use expert knowledge, advanced clinical skills and autonomous decision-making skills, in the assessment and treatment of patients with Haematuria, Bladder and Prostate Cancer
• To educate and empower patients and carers to identify early signs of changes in conditions, and provide them with the necessary knowledge and skills to gain independence and make informed choices to safely manage their conditions
• To participate in working groups relevant to the service within and external to the Trust and to represent the Trust at relevant stakeholder meetings/ committees
• Participate in identified management meetings in conjunction with the lead nurse
• Participate in MDT meetings, as agreed by the service and lead nurse to ensure smooth transitions of care and treatment where required.
• Participates and consults on the development, implementation, monitoring and evaluation of policies/ guidelines/ protocols relevant to specialist area
• Participates and consult upon the clinical governance process, including harm reviews, adverse incident reporting/ investigation and management of complaints, relevant to their area of practice and expertise
• Provide leadership and support for the nursing teams within the diagnostic and cancer pathways.
• Actively collaborate with clinical leads, lead nurse, service managers and the senior urology team to provide strategic development and vision for the future Urology services
• Active participation in change management at local and Network level, initiating innovative nursing directions for bladder and prostate cancer issues in general.

Person Specification

Essential

Qualifications

• Educated to diploma/ degree levelE
• Live NMC registrationE
• Highly developed specialist professional knowledge in managing patients with urological cancers, acquired through post graduate specialist training in cancer care (to a diploma/ degree/ masters or equivalent level) or by demonstrable working experience
• Nurse Prescriber
• IRMER Qualification/ Certificate or equivalent

Desirable

• Research qualification/ experience
• Recognised qualification in teaching and assessing in clinical practice
• Recognised management/ leadership course

Experience

• Demonstrable evidence of strong clinical experience within the Urological field working at a specialist levelE
• Demonstrable experience and skills in diagnostic urology cancer pathways such as Cystsocopy and/or Prostate BiopsyE
• Experience in introducing and managing nurse-led practice
• Evidence of advanced patient assessment skills
• Evidence of the ability to work autonomously and make sound clinical decisions
• Experience of leading service development and successfully managing change

Desirable

• Experience/ participation in clinical research.
• Experience of budgetary management

Disclosure and Barring Service Check

This post is subject to the Rehabilitation of Offenders Act (Exceptions Order) 1975 and as such it will be necessary for a submission for Disclosure to be made to the Disclosure and Barring Service (formerly known as CRB) to check for any previous criminal convictions.

Employer details

Employer name: The Princess Alexandra Hospital NHS Trust
Address: St Margarets Hospital, Epping, Essex, CM16 6TN

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