Detailed job description and main responsibilities

Coordination of care Under the guidance and supervision of a registered practitioner, coordinate care by providing a single point of access, including rapid re-entry into the system for those people identified as having urgent or specialist needs.

1. Triage incoming calls and initiate appropriate response according to assessment tools, protocols and individual pathways, liaising with the CNS as appropriate.

2. Provide basic telephone advice and refer on or signpost to other sources of support.

3. Make pre planned outbound telephone calls to patients to assess needs and monitor progress, liaising with the CNS and other members of the healthcare team as appropriate in order to initiate a proactive prevention approach

4. Coordinate the necessary assessments, appointments or investigations as identified in patients care plan.

5. Support the delivery of patient information to ensure all patients/carers receive appropriate verbal/written communications on a timely manner – this may include printing out information prescriptions, referring to the Cancer Information and Support Service, ensuring that patients receive the new patient information pack and understand its contents.

6. Document and monitor all aspects of care coordination and service delivery.

7. Act as the patient advocate and facilitator in order to resolve issues that may be perceived as barriers to care.

8. Coordinate the care for patients assessed by a registered practitioner as having noncomplex needs and support self-management programmes.

9. Contribute to holistic needs assessment and the development of a care plan for patients with non-complex needs and monitor and review care plan with the patient and carer.

10. Evaluate outcomes of care delivery with the registered practitioner.

11. Assist people to access appropriate information and support by sign posting to a range of support services and encourage self-management where appropriate.

12. With collaboration from the Lung Cancer Nurse Specialists continue to advise patients on individual self-management principles and provide consistent planned follow up to reinforce and further promote this information.

Communication

1. Support the delivery of education for patients and carers

2. Encourage and support active healthy lifestyle choices.

3. Coach patients and carers to understand the signs, symptoms or situations to be aware of that would indicate concern.

4. Inform patients and carers on how to make contact when they feel their condition or needs have changed, including what to do out of hours.

5. Ensure that patients and carers are aware that they are interacting with a Macmillan professional and are made aware of the full range of resources and services available through Macmillan.

6. Actively engage with Macmillan Cancer Support to contribute expertise and experience to support the Macmillan Corporate Strategy.

7. Effectively utilise a computer and various software applications to enter and maintain patient data, communicate with the multidisciplinary team and complete other IT tasks as required by the post.

8. Discuss support options with patients and carers with sensitivity and ensure that the specialist nurse is kept informed of outcomes.

9. Promote patient/user involvement relating to the provision of cancer care.