NHS
Upper G.I Clinical Nurse Specialist, Band 6
Closing date: 23 October 2025
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 an UGI cancer. This would involve patients with an oesophago‑gastric or hepatobiliary cancer from diagnosis, through treatment and at end of life.
The post holder will be an effective core member of our Upper G.I Multidisciplinary team (MDT) demonstrating the highest standard of advanced supportive care in the management of patients with an UGI cancer.
They will be responsible for working as an autonomous expert practitioner, making critical holistic clinical decisions through assessment, monitoring and planning. Facilitating timely investigations, coordinating care & providing information to enable patients to make informed choices.
A high proportion of our patients diagnosed with an UGI cancer have a palliative diagnosis; therefore the post holder will need to be prepared for the distressing nature of this role and have mechanisms in place to manage their psychological wellbeing.
Main duties of the job
Use specialist nursing skills to assess the physical and psycho‑social needs of patients within the defined caseload.
Perform independent assessments of patients within nurse‑led clinics & telephone clinics and manage outcomes appropriately.
Respond to helpline calls and act appropriately using specialist knowledge and skills.
Support patients within the community setting & avoid hospital admissions when appropriate.
Assist patients to contribute to the development of their own care plan, empowering them to make decisions at times of anxiety and uncertainty.
Participate in regular in‑patient ward reviews, assess patients and implement care as appropriate.
Safely request & interpret clinical investigations and respond as appropriate.
Communicate advanced information with patients, carers and health professionals, disseminating complex and potentially distressing information.
Perform procedures such as drain or suture removals, or be willing to learn.
Work well independently and be a supportive team member.
Attend and contribute to weekly MDT meetings, action outcomes and assist with recording cancer data.
Attend and support the GUTSY patient support group; participate in patient education and support needs.
About us We take pride in placing people at the centre of everything we do, working together as a united team. By joining our Trust, you will benefit from an excellent package that includes exclusive benefits, flexible working opportunities and the chance to gain valuable experience in one or both of our innovative hospitals.
With a team of over 9,000 employees, we are the largest employer in Gloucestershire and among the top 10 largest Trusts in the South West region.
As well as generous annual leave allowance, you will have access to the NHS pension scheme, competitive bank rates, discounts at local shops and restaurants, two on‑site nurseries, discounted public transport, reward and recognition and a range of health and wellbeing initiatives.
Job responsibilities 1. Clinical Responsibilities/Key Responsibilities
Use specialist nursing skills to assess the physical and psycho‑social needs of patients within the defined caseload.
Perform independent assessments of patients within nurse‑led clinics & telephone clinics and manage outcomes appropriately.
Respond to helpline calls and act appropriately.
Support patients within the community setting & avoid hospital admissions when appropriate.
Work collaboratively with the MDT to develop and advise a highly specialised care programme for patients.
Coordinate the patient pathway to ensure timely treatment and prevent breaches within Gloucestershire and liaise with tertiary centres.
Assist patients to develop their own care plan and empower them to make decisions.
Participate in regular in‑patient ward reviews, assess patients and implement care as appropriate.
Safely request & interpret clinical investigations and respond.
Communicate advanced information with patients, carers and health professionals.
Perform procedures such as drain or suture removals or be willing to learn.
Work independently and support the team.
Attend and contribute to weekly MDT meetings, action outcomes and assist with recording cancer data.
Attend and support the GUTSY patient support group and participate in patient education.
Retrieve, analyse and interpret information from computer‑based systems, maintain clear and contemporary records.
Maintain patient dignity and confidentiality at all times.
Be willing to work between Gloucester and Cheltenham hospital sites.
Be flexible with working day and hours.
2. Professional Development, Education and Training
Possess excellent communication skills and be willing to undertake Advanced Communication skills training.
Possess or be willing to work towards Independent & Supplementary prescriber qualification.
Possess or be willing to work towards recognised qualification covering Physical Examination and Clinical Reasoning.
Possess or be willing to work towards non‑medical radiology request qualification.
Progress personal and professional development through performance reviews & reflective practice.
Maintain knowledge of research & evidence‑based practice.
Contribute to specialist research, audits and develop programmes or pathways within clinical governance.
3. Management and Leadership
Provide support, training & advice within team and with nursing & medical colleagues.
Demonstrate well‑developed interpersonal communication, negotiating & influencing skills.
Deliver high standards of care to achieve excellent outcomes and service user satisfaction.
Prioritise & manage time to meet unpredictable and conflicting needs of service.
4. Planning and Organisation
Manage own time effectively to meet workload within contracted hours despite frequent interruptions.
Manage own emotional wellbeing when involved in distressing situations.
Ensure timely communication and actions between services and tertiary centres.
Work independently and make decisions on patient care.
5. Communications and Working Relationships
Attend and contribute to team meetings for decision making.
Request & interpret investigations, act upon them and keep patients & personnel updated.
Coordinate patient pathways for timely treatment and prevent breaches.
Coordinate pathways to receive timely treatment and update when referred to or from tertiary centres.
Liaise and facilitate referrals to Queen Elizabeth hospital.
Be involved in initiatives to enhance patient experience, improve outcomes and service improvement.
Be involved in developing new nurse‑led services.
Support changes within practice to enhance service delivery.
Use advanced communication to disseminate complex, sensitive information that may be distressing.
Person Specification Qualifications
Registered nurse on relevant part of the NMC register.
Evidence of ongoing professional development and clinical experience in cancer or palliative care.
Evidence of Masters level learning or willingness to undertake.
Non‑medical prescribing.
Advanced Communications skills course.
Level 2 or above psychological skills training.
Knowledge
Acts as a role model and leads by example to reinforce Trust values and behaviours.
Demonstrates ability to keep up to date with professional issues that influence practice.
Contributes to development, implementation, monitoring and evaluation of policies/protocols/guidelines.
Experience
Substantial experience at Band 5 with specialist clinical skills in upper GI/oncology/palliative care.
Leadership and management experience.
Personal Attributes
Enthusiastic, highly motivated and self‑aware.
Reliable, adaptable and dependable.
Disclosure and Barring Service Check This post is subject to the Rehabilitation of Offenders Act (Exceptions Order) 1975 and a Disclosure to the Disclosure and Barring Service will be required.
£38,682 to £46,580 a year (pro rata if part‑time)
#J-18808-Ljbffr
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 an UGI cancer. This would involve patients with an oesophago‑gastric or hepatobiliary cancer from diagnosis, through treatment and at end of life.
The post holder will be an effective core member of our Upper G.I Multidisciplinary team (MDT) demonstrating the highest standard of advanced supportive care in the management of patients with an UGI cancer.
They will be responsible for working as an autonomous expert practitioner, making critical holistic clinical decisions through assessment, monitoring and planning. Facilitating timely investigations, coordinating care & providing information to enable patients to make informed choices.
A high proportion of our patients diagnosed with an UGI cancer have a palliative diagnosis; therefore the post holder will need to be prepared for the distressing nature of this role and have mechanisms in place to manage their psychological wellbeing.
Main duties of the job
Use specialist nursing skills to assess the physical and psycho‑social needs of patients within the defined caseload.
Perform independent assessments of patients within nurse‑led clinics & telephone clinics and manage outcomes appropriately.
Respond to helpline calls and act appropriately using specialist knowledge and skills.
Support patients within the community setting & avoid hospital admissions when appropriate.
Assist patients to contribute to the development of their own care plan, empowering them to make decisions at times of anxiety and uncertainty.
Participate in regular in‑patient ward reviews, assess patients and implement care as appropriate.
Safely request & interpret clinical investigations and respond as appropriate.
Communicate advanced information with patients, carers and health professionals, disseminating complex and potentially distressing information.
Perform procedures such as drain or suture removals, or be willing to learn.
Work well independently and be a supportive team member.
Attend and contribute to weekly MDT meetings, action outcomes and assist with recording cancer data.
Attend and support the GUTSY patient support group; participate in patient education and support needs.
About us We take pride in placing people at the centre of everything we do, working together as a united team. By joining our Trust, you will benefit from an excellent package that includes exclusive benefits, flexible working opportunities and the chance to gain valuable experience in one or both of our innovative hospitals.
With a team of over 9,000 employees, we are the largest employer in Gloucestershire and among the top 10 largest Trusts in the South West region.
As well as generous annual leave allowance, you will have access to the NHS pension scheme, competitive bank rates, discounts at local shops and restaurants, two on‑site nurseries, discounted public transport, reward and recognition and a range of health and wellbeing initiatives.
Job responsibilities 1. Clinical Responsibilities/Key Responsibilities
Use specialist nursing skills to assess the physical and psycho‑social needs of patients within the defined caseload.
Perform independent assessments of patients within nurse‑led clinics & telephone clinics and manage outcomes appropriately.
Respond to helpline calls and act appropriately.
Support patients within the community setting & avoid hospital admissions when appropriate.
Work collaboratively with the MDT to develop and advise a highly specialised care programme for patients.
Coordinate the patient pathway to ensure timely treatment and prevent breaches within Gloucestershire and liaise with tertiary centres.
Assist patients to develop their own care plan and empower them to make decisions.
Participate in regular in‑patient ward reviews, assess patients and implement care as appropriate.
Safely request & interpret clinical investigations and respond.
Communicate advanced information with patients, carers and health professionals.
Perform procedures such as drain or suture removals or be willing to learn.
Work independently and support the team.
Attend and contribute to weekly MDT meetings, action outcomes and assist with recording cancer data.
Attend and support the GUTSY patient support group and participate in patient education.
Retrieve, analyse and interpret information from computer‑based systems, maintain clear and contemporary records.
Maintain patient dignity and confidentiality at all times.
Be willing to work between Gloucester and Cheltenham hospital sites.
Be flexible with working day and hours.
2. Professional Development, Education and Training
Possess excellent communication skills and be willing to undertake Advanced Communication skills training.
Possess or be willing to work towards Independent & Supplementary prescriber qualification.
Possess or be willing to work towards recognised qualification covering Physical Examination and Clinical Reasoning.
Possess or be willing to work towards non‑medical radiology request qualification.
Progress personal and professional development through performance reviews & reflective practice.
Maintain knowledge of research & evidence‑based practice.
Contribute to specialist research, audits and develop programmes or pathways within clinical governance.
3. Management and Leadership
Provide support, training & advice within team and with nursing & medical colleagues.
Demonstrate well‑developed interpersonal communication, negotiating & influencing skills.
Deliver high standards of care to achieve excellent outcomes and service user satisfaction.
Prioritise & manage time to meet unpredictable and conflicting needs of service.
4. Planning and Organisation
Manage own time effectively to meet workload within contracted hours despite frequent interruptions.
Manage own emotional wellbeing when involved in distressing situations.
Ensure timely communication and actions between services and tertiary centres.
Work independently and make decisions on patient care.
5. Communications and Working Relationships
Attend and contribute to team meetings for decision making.
Request & interpret investigations, act upon them and keep patients & personnel updated.
Coordinate patient pathways for timely treatment and prevent breaches.
Coordinate pathways to receive timely treatment and update when referred to or from tertiary centres.
Liaise and facilitate referrals to Queen Elizabeth hospital.
Be involved in initiatives to enhance patient experience, improve outcomes and service improvement.
Be involved in developing new nurse‑led services.
Support changes within practice to enhance service delivery.
Use advanced communication to disseminate complex, sensitive information that may be distressing.
Person Specification Qualifications
Registered nurse on relevant part of the NMC register.
Evidence of ongoing professional development and clinical experience in cancer or palliative care.
Evidence of Masters level learning or willingness to undertake.
Non‑medical prescribing.
Advanced Communications skills course.
Level 2 or above psychological skills training.
Knowledge
Acts as a role model and leads by example to reinforce Trust values and behaviours.
Demonstrates ability to keep up to date with professional issues that influence practice.
Contributes to development, implementation, monitoring and evaluation of policies/protocols/guidelines.
Experience
Substantial experience at Band 5 with specialist clinical skills in upper GI/oncology/palliative care.
Leadership and management experience.
Personal Attributes
Enthusiastic, highly motivated and self‑aware.
Reliable, adaptable and dependable.
Disclosure and Barring Service Check This post is subject to the Rehabilitation of Offenders Act (Exceptions Order) 1975 and a Disclosure to the Disclosure and Barring Service will be required.
£38,682 to £46,580 a year (pro rata if part‑time)
#J-18808-Ljbffr