What does your job involve?
I lead a team of lung cancer clinical nurse specialists and provide operational and strategic management of the lung cancer CNS service at UCLH. I also act as a spokesperson for the lung CNS team within the wider lung MDT and strive to ensure the CNS voice is heard within the team.
I act as a keyworker and a main point of contact to support a caseload of patients with lung cancer undergoing both systemic and radiotherapy treatments. I use clinical decision-making to assess and keep patients safe at home when they are experiencing treatment or disease-related side effects.
In addition, I am also in the process of gaining a MSc in Advanced Clinical Practice to widen my current scope of practice in assessing lung cancer patients undertaking immunotherapy treatments within the trust.
What does a typical day look like?
Days are quite different, I work between clinics supporting patients within my remit as a CNS, but also working towards becoming an independent practitioner in one clinic a week using the skills and knowledge gained from my MSc.
I also support consultant ward rounds as well as providing remote support, advice and intervention for our outpatient patients experiencing treatment or disease-related effects. These clinical duties are also alongside more strategic and managerial work within the team.
How did you become a CNS Nurse?
I’ve worked in oncology for the whole of my 21-year career. Since I was a junior nurse, I aspired to become a cancer CNS. I was in awe of the CNS’ knowledge and experience and what a positive impact the CNS had - not only on the patient and their family’s experience, but also the key leadership role they provide within the wider multidisciplinary team.
I wanted a role where I could have a lot of patient contact and use my clinical experience and judgement. Also, I wanted to be able to advocate and influence the service provided to patients and their families.
What are the main challenges in your role?
It can be emotionally demanding, largely because of the relationship you build with a patient and their family. Clinical decision making can be challenging, but there is clinical supervision available. Working in a team helps - we all support each other, as do the rest of the cancer CNS community at UCLH. Away from work I also have a very supportive husband and children who enrich my life and ensure I have a life outside of nursing!
What do you enjoy the most about your role?
Supporting patients. Using my clinical experience and communication skills so patients understand their treatment and feel empowered to ask questions and make decisions. Leading a team of dedicated, highly skilled lung CNSs! I am proud of the patient-centred work they undertake every day.
I love developing nurses within my team and being a role model for them and anyone aspiring to be a cancer CNS. There are good opportunities for continual professional development, these have enabled me to undertake my MSc in Advanced Clinical Practice.
What skills do you need for your role?
I feel the key skills and attitudes you need are flexibility, dedication and a real interest in the tumour type you work within.
What are your career ambitions?
To complete my MSc Advanced Clinical Practice and continue working as an independent practitioner within one of the treatment clinics every week. Long term I want to continue in a further leadership role within oncology as this is my passion, especially supporting and inspiring the next generation of oncology CNSs.
What advice would you give to someone thinking about a career as a CNS Nurse?
If you want a role which is dynamic, rewarding and allows for continuous development then go for it! The role is complex as it juggles the supportive aspects of care alongside clinical decision-making to maintain the safety of patients in the community.
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