CNS Hepatocellular Cancer Surveillance - FTC

This is a new post required to expand Hepatology services for the effective delivery of a robust HCC surveillance pathway. The Primary purpose of the role is to deliver the HCC surveillance pathway including patient assessment, investigations, review of blood, USS, and lifestyle advice and signposting, The post holder will work closely with the HCC surveillance data manager and pathway navigator to co-ordinate care for patients engaged in hepatocellular cancer surveillance pathways.

Working with existing team members, the post holder will deliver nurse lead clinics for people with stable cirrhosis and channel patients with more advanced liver disease to Consultant clinics. The nurse will be accountable for requesting and co-ordinating six monthly diagnostics for patients with cirrhosis, and will work closely with the pathway navigator to track patients through the pathway.

The Trust will be required to develop a database of patients on surveillance (in future there will be local and national patient level reporting). In the set up phase the CNS will work with the Hepatology consultants to ensure that the RSCH complies with Key Performance Indicators defined by the Cancer Alliance.

The CNS will work closely with all the Consultant Hepatologists Liver CNS team, pathway navigators, cancer services and diagnostic services to retain patients in cancer surveillance pathways., o To provide nurse led HCC surveillance clinics for patients with stable cirrhosis.

o Provide advice, information and support for participants enrolled in the liver HCC cancer surveillance pathways.

o Be responsible for care delivery for patients undergoing liver surveillance for cirrhosis and to meet the needs of patients.

o Be competent to:

v Undertake phlebotomy

v Autonomously support patients to make informed decisions prior to undergoing a surveillance USS.

v Communicate test results and implement surveillance and follow-up

o Manage patients within the liver cancer surveillance pathway in accordance with relevant society and National guidance (e.g., NICE QS152).

o To use specialist knowledge and advanced communication skills with patients and carers when obtaining consent for procedures and providing psychological support where necessary

o Acting as the patient advocate supporting them to navigate and make

Royal Surrey is a compassionate and collaborative acute and community Trust. Recognising that our 5000 colleagues are our greatest strength, we offer a comprehensive health and wellbeing program along with a commitment to developing and advancing your career. Our diverse and welcoming Royal Surrey family will ensure you that you feel valued from your initial interview through your entire tenure.

We are clinically led and provide joined up care by bridging the gap between hospital and community services alongside regional specialist cancer care. Our main acute hospital site is in Guildford with community hospital sites at Milford, Haslemere and Cranleigh. We provide adult community health services in homes across Guildford and Waverley.

The Care Quality Commission (CQC) have given us an overall rating of Outstanding.

Royal Surrey has a strong reputation and history to build on. We are proud of our achievements and we are investing in our colleagues through our commitment to supporting professional development as well as investing more than £45 million in our physical environment and new equipment in the next few years. There has never been a better time to join us.