HCC Surveillance Pathway Navigator

Job overview

An exciting new opportunity has arisen with the Hepatology department, HCC Surveillance Pathway Navigator is a new role to support patients identified as at risk of liver cancer to attend essential HCC surveillance scans and associated appointments with face to face and telephone interventions. We are looking for the right person to work proactively to identify and overcome barriers to engagement with HCC surveillance, particularly with patients experiencing inequalities in access to healthcare.

The new role will be working along side the Liver Team and Caner Alliance:

• To maintain the HCC surveillance database for the trust.
• To collect and submit the data required by the cancer alliance.

Main duties of the job

To engage with patients undergoing HCC Surveillance due to their Liver Disease. Support scheduling of clinic and imaging appointments to ensure surveillance schedule is maintained. To coordinate the necessary appointments, or investigations to expedite patients with abnormal results (e.g. suspected HCC) and ensure the correct onward pathway is followed in a timely manner. Make telephone calls to patients to remind them of upcoming scans / laboratory tests; identify and assist in resolving any barriers to engagement; coordinate text reminders for surveillance appointments for patients. Support patients with additional needs to attend appointments – for example, meet at front door / attend appointment with patients.

Coordinate and provide administrative support to the clinical team to ensure all relevant paperwork and clinical information is available for consultations. Maintain and populate the patient tracking list (“Database”) for the surveillance clinics and scans, adding newly referred patients. Document and monitor aspects of care coordination and service delivery for audit and reporting to the Hepatology team and the Humber and North Yorkshire Cancer Alliance. Respond in a timely manner to enquiries from the patient’s GP regarding liver disease stage, care and treatment on the cancer surveillance pathway.

Detailed job description and main responsibilities

Main duties and responsibilities of post holder

Patient Care / Clinical Services

• Responsibility for managing own time and ensuring tasks are completed in the required timeframe. Work autonomously in ensuring patients are tracked and progressed along their pathway accordingly.
• Document and monitor aspects of care coordination and service delivery for audit and reporting to the Hepatology team and the Humber and North Yorkshire Cancer Alliance.
• Support scheduling of clinic and imaging appointments to ensure surveillance schedule is maintained.
• Coordinate and provide administrative support to the clinical team to ensure all relevant paperwork and clinical information is available for consultations.
• Maintain and populate the patient tracking list (“Database”) for the surveillance clinics and scans, adding newly referred patients.
• Identify from the tracking list the next steps in the patients’ surveillance pathway in line with target surveillance dates and or clinical need.
• Develop an understanding of the milestones within the Liver Cancer Surveillance pathway and relevant national guidance (e.g. NICE / BSG cirrhosis guidelines / Minimum standards for HCC surveillance).
• Respond in a timely manner to enquiries from the patient’s GP regarding liver disease stage, care and treatment on the cancer surveillance pathway.
• Triage incoming calls
• Coordinate the necessary appointments, or investigations to expedite patients with abnormal results (e.g. suspected HCC) and ensure the correct onward pathway is followed in a timely manner.
• Make telephone calls to patients to remind them of upcoming scans / laboratory tests; identify and assist in resolving any barriers to engagement; coordinate text reminders for surveillance appointments for patients.
• Support patients with additional needs to attend appointments – for example, meet at front door / attend appointment with patient.
• Encourage and support active and healthy lifestyle choices.
• Monitor patients on surveillance pathways and proactively find resolutions to improve adherence to target surveillance dates, e.g. tracking attendance and DNA’s, escalation of overdue patients to the Lead Nurse / clinical team. Work with lay peer support workers to maintain engagement and reengage with patients with surveillance following a DNA. Proactively finding resolutions to barriers to care.

Applicant requirements

This post is subject to the Rehabilitation of Offenders Act 1974 (Exceptions) Order 1975 (Amendment) (England and Wales) Order 2020 and it will be necessary for a submission for Disclosure to be made to the Disclosure and Barring Service.