Royal United Hospitals Bath NHS Foundation Trust
HCC Surveillance Navigator
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Job Overview
"This post is only open to internal applicants."
The postholder will work closely with the Liver Clinical Nurse Specialist (CNS) team, other clinicians, booking staff, and support agencies in the community to promote patient engagement in the hepatocellular cancer (HCC) surveillance pathway and improve the efficiency of the service.
They will develop, maintain, and update existing patient databases, collate results for review by the CNS team, provide administrative support, and facilitate audit of the HCC surveillance pathway. In addition, they will be expected to track patients through the system and follow up with patients who miss appointments.
There is potential, dependent on a suitable applicant, to expand the role to learn how to perform FibroScan.
Main Duties of the Job
- Improve the current surveillance system and promote patient engagement in surveillance
- Support data collection and audit
- Track patients with suspected HCC
- Book patients for Nurse-Led Stable Cirrhosis clinics
Working for our Organisation
We are proud to be part of BSW Hospitals Group - a formal partnership between the Royal United Hospitals Bath NHS Foundation Trust, Great Western Hospitals NHS Foundation Trust, and Salisbury NHS Foundation Trust. With a combined workforce of over 17,600 colleagues and a budget of 1.6 billion, the Group is united by a common purpose to deliver the best possible care to over 1 million people.
We are creating a health and care system that works with the people we care for, reducing the differences people currently face in access, experience, and outcomes, improving the experience of our colleagues, and tackling shared challenges like sustainability and finances. Every improvement we make across our Group will be guided by what creates the greatest benefit for our colleagues, our patients, our communities, and our partners.
By working together, we make a real difference for our patients, each other, and our community. Every role matters in delivering the exceptional, person-centred care we’re proud of.
We’re committed to a compassionate, inclusive culture where kindness is championed, differences are valued, and diversity makes us stronger.
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Detailed Job Description and Main Responsibilities
Improve the Current Surveillance System and Promote Patient Engagement in Surveillance
- Maintain and update the database
- Provide support to the CNS team by sending out surveillance invitation letters and organizing FibroScan and outpatient appointments
- Collate blood test and ultrasound results for review by the Liver CNS team
- Contact patients who do not attend for surveillance and encourage and facilitate participation, including liaising with community support workers or assisting with coordinating transport for appointments
- Build on existing contacts with Drug and Alcohol Support and Homeless Teams in the community fostered through Hep C outreach and the Alcohol Liaison Team to promote engagement of disadvantaged patients with HCC surveillance, thus reducing health inequalities
- Help develop a pathway for referral of at-risk patients identified from FibroScan now taking place in Drug and Alcohol Services
- Assist the CNS team with re-engaging known Hep C patients at risk of HCC and lost to follow up
Potential (Dependent on Suitable Applicant) to Expand Role to Use of FibroScan
Support Data Collection and Audit
- Collect data on the numbers of new patients added to the surveillance database, numbers of patients invited for surveillance, and the numbers attending on a quarterly basis
- Use systematic case finding by review of Liver Clinic letters, diagnostic codes from the Business Intelligence Unit, and abnormal FibroScan results to identify patients at risk of HCC who may not have been added to the database and help develop processes to improve this
Track Patients with Suspected HCC
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- Ensure patients with suspected HCC have timely arrangement of further scans, outpatient follow-up, and assist with referral to the Regional Hepatobiliary MDT
- Facilitate good liaison and communication between the RUH and the regional treatment centre at University Hospitals Bristol & Weston (Bristol Royal Infirmary) for the treatment and monitoring of patients with HCC
Person Specification
Essential Criteria
- Experience of coordinating patient pathways and managing multiple appointments or referrals simultaneously
Desirable Criteria
- Experience working with cancer services, endoscopy, hepatology, gastroenterology
Essential Criteria
- Experience using electronic patient record systems and NHS databases
Desirable Criteria
- Experience producing reports, analysing data, or monitoring pathway performance
Please note - Due to recent changes in UK immigration and visa rules, applicants who do not currently have the right to work in the UK may not be considered unless an alternative right to work solution can be provided. Candidates requiring sponsorship (or will need sponsorship at the end of a current visa e.g., those with graduate visas) should review the eligibility criteria on the gov.uk website before applying: Prove your right to work to an employer: Overview - GOV.UK.
Applicant Requirements
The postholder will have access to vulnerable people in the course of their normal duties and as such this post is subject to the Rehabilitation of Offenders Act 1974 (Exceptions) Order 1975 (Amendment) (England and Wales) Order 2020, and as such, it will be necessary for a submission for Disclosure to be made to the Disclosure and Barring Service to check for any previous criminal convictions.
Documents to Download
Further Details / Informal Visits Contact
- Name: Kane Wilson
- Job Title: Gastroenterology Outpatient Manager
- Email Address: kane.wilson1@nhs.net
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