Macmillan Personalised Cancer Care Facilitator

Job overview

Ensure effective collaboration and engagement across the Trust, ICB and West Midlands Cancer Alliance to implement the key measures for personlised cancer care. Work with major stakeholders , CNS’s, cancer teams, Navigators,  primary, secondary and tertiary services across acute and primary care.

Support the ongoing development of the Living with and beyond cancer service (LWBC) - setting and measuring objectives towards successful implementation at Walsall Manor hospital, working with all key leads to increase the amount of PCSP that are produced in conjunction with HNAs, treatment summary and opportunity to increase PSFU pathways.

PLEASE NOTE - ANY INTERNAL STAFF WHO APPLY FOR THIS ROLE WILL BE ELEGIBLE FOR A SECONDMENT OPPORTUNITY AS OPPOSED TO A FIXED-TERM CONTRACT.

Main duties of the job

The post holder will work as part of the Personalised Cancer Care Support Team working across primary, secondary and tertiary sector services. The post holder will lead on the delivery of the secondary care aspects of the Living with and Beyond Cancer LWBC programme. These include;

• Embedding Holistic Need Assessments (HNA), Person support care plans (PSCP)
• Treatment Summaries
• Delivery of the Health and Wellbeing Events
• Person centred Follow- Up (PSFU).

The aim of this post is to support the Trust Lead Cancer Nurse and its Cancer MDT’s in the delivery of the cancer survivorship agenda by developing trust wide strategies and new models of working for patients living with and beyond cancer. This role will require effective communication with wider stakeholders including Leads and Managers, Multidisciplinary Teams MDT, Macmillan Partnership Quality Leads and patients.

The post holder will be a member of the cancer services team, assist the lead on embedding survivorship and be responsible for the further development and implementation of the cancer patient survivorship programme at Walsall Healthcare NHS Trust. They, along with the lead will provide specialist advice and guidance on new models of working with patients living with and beyond cancer to members of the trusts multi-disciplinary team’s patients and other health practitioners in primary and secondary care.

Detailed job description and main responsibilities

Key Responsibilities

Trusts Cancer Survivorship Agenda:

• Support the Lead on the development of a LWBC programme providing options for future sustainability of developing model(s) of care for patients living with and beyond cancer.
• Identify ways that service redesign may be used in the follow-up pathway to reduce future presentation to emergency care/GP services and / or as a means of reducing patient follow-up appointments (i.e. risk stratified pathways) and evaluate the impact this may have on both trust and community resources.
• Work with the lead, by Liaising and influencing Clinical Commissioning Groups and Senior Healthcare Practitioners in promoting and raising the awareness of new models of cancer care follow-up

Health Needs Assessment and Care Planning

• Attend the Trusts Champion HNA Steering group to assist in planning and implementing strategies for the delivery of Holistic Needs Assessments and Care Planning to patients along site-specific MDT cancer pathways
• Work with the Trusts Cancer and IM&T Services to identify methods for capturing and reporting of HNA and care plans entered onto the Somerset Cancer Registry and Trusts EPR
• Ensure the HNA and Care Planning process is effectively promoted and supported within the trust to both staff and patients
• Along with the lead Identify and action plan to resolve any issues raised by the Champion group arising from HNA and Care Planning implementation, highlighting and reporting areas of concern to the Survivorship Steering Group and Trusts Locality Cancer Action Team
• Deliver effective methods to evaluate and monitor HNA and care planning progress and ensuring these are made available to trust wide key stakeholders through 1/4ly updates.
• Identify training and personal development needs in support of the delivery of HNA ensuring CNS’s’ and the Macmillan Cancer Care Navigators are equipped to appropriate levels of competency.

Work with identified cancer MDT’s:

• To provide comprehensive project management support to the MDT’s in planning, embedding and reporting the implementation of Holistic Needs Assessment HNA and Treatment Summaries, supporting clinicians to deliver HNA project outcomes that enable improved quality
• To establish Health and Wellbeing events as part of routine follow-up and as a gateway to a range of self-management options
• In implementing a timetable of Living Well self- management courses accessible from across the care pathway
• To assist in producing a Community Resource File listing key organisations available to support wellbeing events and liaising with these organisations to better understand their services and accessibility / availability criteria
• To embed End of Treatment Summaries to support liaison between primary and specialist care professionals

Communication strategy and awareness:

• Develop a communication strategy to raise awareness among patients and healthcare providers of any new survivorship initiatives and outcomes
• Develop and disseminate a range of information and support materials related to cancer survivorship in a variety of media
• Prepare reports as required on project development and service evaluations for dissemination / presentation at local, regional and national events, along with the help of the lead
• Disseminate findings of the project to the wider community of people involved in the care of cancer patients
• Promote models of care and evaluation processes developed through the project to other tumour sites across the Trust
• Work in partnership with all clinical and non-clinical staff within cancer services to achieve a seamless pattern of care for the individual patient

Professional Responsibilities

• To assist the lead on the development of Trust/Network clinical policies, protocols and new pathways to support survivorship
• Participate in Regional and National Group meetings representing Walsall Healthcare NHS Trust.
• To act as a specialist in the field by keeping up to date by reviewing latest research/literature and attending relevant conferences/courses
• To be an active member of the Trusts Cancer Nurse Specialist Meeting, in promoting the survivorship agenda and undertaking activities to take cancer survivorship nursing forward in the Trust.

• Maintain own professional development and competencies through attending statutory study days as well as relevant courses to the service.
• Attend regular Clinical Supervision sessions for personal and clinical support
• Maintain clear and concise records / correspondence / files
• Attend and keep up to date with the Trusts mandatory training requirements

• Ensure Trust policies, procedures and guidelines/protocols are known and followed
• Attend and participate in Departmental, directorate and Trust meetings as required
• Participate with other members of the team in preparation for annual peer review
• Participate in local and regional multidisciplinary meetings when required
• To behave in a manner that secures the security of National Health property and resources
• To safeguard at all times the confidentiality of information in relation to patients and staff
• To follow risk management procedures at all times
• To take personal responsibility for risk management in respect of self and colleagues and report any identified potential hazard to line manager
• To attend risk management training as required and directed
• To complete and submit the necessary documentation should an incident or hazard arise.

Leadership – Personal and People Development

• Take responsibility for own development learning and performance including participating in clinical supervision and acting as a positive role model.
• Support the development of other in orders to maximize potential.
• Participate in the training and development for primary care, third sector and secondary care staff on improving services offered for people affected by cancer.
• Actively pursue learning and development opportunities for the primary care workforce, through Macmillan Learning and Development Team.
• Demonstrate a good understanding and knowledge of local and national guidance and targets that impact the project e.g. NSF (National Service Framework), NICE (National Institute of clinical excellence) guidance, Department of Health initiatives etc.
• Participate in planning and implementing changes within the area of care and responsibility
• Contribute and participate in the development of local guidelines, protocols and standards.

Utilising Information

• Devise and provide improvements to current management information, analysing, reporting and suggesting procedures to enhance decision- making processes.
• Ensure timely and accurate information analysis and reporting to management on agreed areas of work
• Undertake information searches using available data bases and resources to support MDTs
• Understand the responsibility of self and others regarding the Freedom of Information Act
• Collate, analyse and present clinical data and information to illustrate and explain data within general practice.

Learning and Development

• Scope the training needs across all sectors and develop/deliver a continuous training package on Living with and Beyond Cancer i.e. face to face, e-learning, conferences
• Disseminate learning and information gained to Primary Care, Third sector and secondary care teams in order to share good practice and inform others about current and future developments
• Assess own learning needs and undertake learning as appropriate
• Make effective use of learning opportunities within and outside the workplace, evaluating their effectiveness and feeding back relevant information
• Provide an educational role to patients, carers, families and colleagues in an environment that facilitates learning.
• Actively engages with Macmillan Cancer Support to contribute expertise and experience and support the Macmillan Corporate Strategy.

Staff Management

• Management of the band 4 Macmillan Cancer Support Workers