Clinical Nurse Specialist Germ Cell


Company:	NHS Jobs
Salary:	£39,959 to £48,117 a year
Hours:	Full-time
Location:	Bristol, BS2 8ED
Job type:	Permanent
Posting date:	15 Oct 2026
Closing date:	29 Oct 2026

Apply for this job

Summary

Interpersonal and communication skills Provide specialist information, support and advice to patients and their families from diagnosis through treatment, follow-up and living with and beyond cancer. Communicate complex and sensitive information regarding diagnosis, prognosis, treatment options, surveillance plans and disease progression. Act as a key worker and patient advocate, ensuring patients and carers understand their treatment pathway and are supported to make informed decisions. Provide telephone, virtual and face-to-face consultations, adapting communication styles to meet individual patient needs. Develop therapeutic relationships with patients and families experiencing anxiety, distress and uncertainty related to cancer diagnosis and treatment. Liaise effectively with consultants, specialist nurses, MDT members, primary care teams, community services and external providers to coordinate care. Facilitate referrals to support services, including palliative care, psychological support, allied health professionals and charitable organisations. Communicate difficult or potentially distressing information sensitively, including disease progression, treatment complications and end-of-life discussions when appropriate. Support patients where communication barriers exist, including cognitive impairment, emotional distress, language differences or sensory impairment. Professional knowledge and expertise Maintain specialist knowledge of germ cell cancer, associated treatments, surveillance pathways and supportive care interventions. Demonstrate clinical knowledge acquired through professional registration, degree-level education and specialist cancer training. Apply national and local cancer policies, pathways, protocols and guidelines to clinical practice. Maintain knowledge of Living With and Beyond Cancer initiatives, cancer survivorship and remote monitoring pathways. Provide evidence-based specialist advice to patients, carers and healthcare professionals. Maintain professional competence through continuing professional development, education, audit and service improvement activities. Work within the NMC Code and Trust policies to ensure safe and effective practice. Problem-solving and decision-making Assess patients presenting with complex physical, psychological and social needs associated with germ cell cancer and its treatment. Analyse clinical information, investigation results and patient-reported symptoms to inform clinical decision making. Prioritise urgent concerns and escalate appropriately to medical colleagues or emergency services where required. Recognise deterioration and identify patients requiring urgent review, intervention or referral. Evaluate treatment-related toxicities and recommend appropriate management strategies. Exercise professional judgement when managing uncertain or complex clinical situations. Identify barriers to care and develop practical solutions to ensure continuity of patient support and treatment. Planning and coordination Manage and prioritise an autonomous caseload of patients across the germ cell cancer pathway. Coordinate investigations, appointments, follow-up reviews and surveillance programmes. Plan and deliver nurse-led clinics, including face-to-face, telephone and virtual consultations. Coordinate care across multiple clinical settings including inpatient, outpatient and community environments. Ensure timely referrals to diagnostic, treatment and supportive care services. Contribute to multidisciplinary team working and cancer pathway coordination. Organise follow-up care and support transitions between acute and community services. Respond effectively to fluctuating caseloads and changing service demands. Patient care and support Develop, implement and evaluate personalised care plans in partnership with patients and families. Provide specialist symptom management advice throughout the cancer pathway. Support patients receiving active treatment, surveillance and follow-up care. Provide education and self-management advice to enable patients to manage the impact of cancer and treatment. Ensure patients are aware of all appropriate treatment options, including clinical trial opportunities where available. Advocate on behalf of patients to ensure equitable access to care and support services. Maintain accurate clinical records in accordance with professional and organisational standards. Monitor treatment outcomes and ensure appropriate follow-up arrangements are in place. Service development and improvement Contribute to the ongoing development of the germ cell cancer service and wider oncology pathways. Participate in the implementation of national cancer initiatives and local quality improvement projects. Support the development, review and implementation of clinical guidelines, protocols and standard operating procedures. Identify opportunities to improve patient experience, pathway efficiency and service delivery. Support the development of innovative approaches to cancer follow-up and survivorship care. The Germ Cell team are currently implementing a digital cancer remote monitoring system called My Medical Record. The CNS will be critical in the effective implementation and development of this service. Contribute specialist knowledge to service redesign discussions and MDT developments. Leadership and team management Support the education and development of new staff, students and colleagues. Participate in clinical supervision, appraisal and personal development processes. Delegate activities appropriately and retain accountability for delegated responsibilities. Support service objectives and contribute to a positive team culture. Act as a professional role model and uphold Trust values and behaviours. Information and data management Maintain accurate, timely and comprehensive patient records. Enter, retrieve and interpret clinical information from multiple electronic systems. Ensure compliance with confidentiality, information governance and data protection requirements. Collect and contribute clinical activity data to support service monitoring and reporting. Utilise electronic patient record systems, cancer databases and clinical information systems. Ensure accurate documentation of assessments, interventions, referrals and outcomes. Innovation and continuous improvement Participate in clinical audit, service evaluation and quality improvement initiatives. Contribute to research activities, data collection and implementation of evidence-based practice. Support the development and review of clinical pathways and standards of care. Keep up to date with emerging evidence, innovations and developments in germ cell cancer management. Autonomy and decision authority Work independently within agreed professional boundaries and scope of practice. Manage an autonomous patient caseload and nurse-led clinics. Make clinical decisions based on specialist knowledge, assessment findings and evidence-based practice. Prioritise workload independently while responding to competing clinical demands. Physical demands Move between outpatient clinics, inpatient wards and different clinical environments throughout the working day.

Apply for this job