Post Title: | Candidate Advanced Nurse Practitioner (CANP)/ Registered Advanced Nurse Practitioner (CANP/RANP) - Medical Oncology Neuro-Oncology Service (MONOS) |
Post Status: | Permanent |
Department: | Medical Oncology Department, Beaumont RCSI Cancer Centre |
Location: | The successful candidate will be a core contributor within the Medical Oncology Department. The cANP/RANP-MONOS will be based within Beaumont Hospital, with the ability to practice across: 1) the Medical Oncology Suite in the Outpatient Department, 2) the Oncology Day Unit, 3) the Inpatient service, and 4) within the consult service. |
Reports to: | The cANP/RANP-MONOS: Is clinically accountable to the Consultant Medical Oncologists in Beaumont Hospital. |
Salary: | Appointment will be made on the Candidate ANP salary scale (€70,025 - €79,081) or the Registered ANP salary scale (€70,701 - €87,250) at a point in line with Government pay policy. |
Hours of work: | Full Time, 37.5 Hours per week |
Closing Date: | Friday 8th August 2025 @ 12noon
Please note the hospital reserves the right to close the competition early should a substantial number of applications be received. |
Details of Service
The Medical Oncology Department at Beaumont RCSI Cancer Centre provides oncology care for the full spectrum of cancers as one of the 8 designated cancer centres nationally and as the main OECI-certified cancer centre within the HSE Dublin and North East health regions.
The Medical Oncology Service provides general oncology care to the local population, in addition to specialised neuro-oncology care on a regional and national level.
The service continues to adapt to the growing population of Ireland, the associated increase in people living with a cancer diagnosis, in addition to the growing expectations of the population in relation to their oncology care needs.
As the service continues to grow it is expected that the service will transition to a soon to be developed Cancer Quarter on the campus of Beaumont. This will be associated with a transition from the current location to an integrated clinic, day unit, acute care area, holistic allied health therapy, and an embedded oncology pharmacy.
Such a structure will allow for more efficient care, group support for staff members and thereby improve the quality of care provided. It will also provide the structural needs of a modern oncology service.
The cANP/RANP-MONOS will integrate and work alongside the Consultant Medical Oncologists practicing Neuro-Oncology, in addition to the non-consultant hospital doctors (NCHDs). Medical Oncology Neuro-Oncology Service practices falls outside the scope of established practice requirements for the specialties of neurology, neurosurgery, radiation oncology and general medical oncology. The cANP/RANP-MONOS role recognises this fact and will act as a catalyst to further explore novel and creative approaches to enhance patient care in conjunction with the current service.
Service Mission, Vision and Values
To deliver patient / family focused care for those with primary brain tumours, with particular focus on the higher grade, aggressive tumours. This care will centre on education, patient care (acute and planned), service improvements, communication and collaboration, promoting professionalism. Thereby the lives of these patients and their families can be supported through the challenging times of both disease and treatment-related events, preparing for the anticipated decline in physical, cognitive, or combination of these elements associated with brain tumours.
The post holder will collaborate and liaise with the NCCP on strategic goals including those set out in the National Cancer Strategy through working groups and other approaches to implementation.
Clinical Indemnity
Clinical Indemnity arrangements for the post and service are provided by the States Claim Agency’s Clinical Indemnity Scheme; the cANP/RANP-MONOS will work within defined and agreed scope of practice and in accordance with approved policies, protocols, procedures and guidelines (PPGs) and established clinical supervision arrangements.
Key Working Relationships
to include, but not limited to:
Director of Nursing
Directorate Nurse Manager
Clinical Nurse Manager
cANP/RANPs and other nursing grades
Nurse Practice Development Co-ordinator
Prescribing site Co-ordinator(s)
Medical colleagues
Interprofessional colleagues
Patients/service users/families and/or carers
Nursing and Midwifery Board of Ireland
Education Bodies
Nursing and Midwifery Planning and Development Unit
Centres of Nursing and Midwifery Education
National Clinical and Integrated Care Programme
National Clinical Leadership Centre
Other relevant statutory and non-statutory organisations
Clinical Supervision
The cANP/RANP-MONOS engages in ongoing clinical supervision per a Memorandum of Understanding. The structure, process and outcome of clinical supervision must be explicit.
The cANP/RANP-MONOS maintains a record of clinical supervision / professional practice portfolio.
Purpose of the Post | An overview of the Medical Oncology Neuro-Oncology Service (MONOS) The Medical Oncology Neuro-Oncology Service (MONOS) focuses on the care provision for patients with malignant primary brain tumours, under going treatment within the Medical Oncology Service. This includes attendance and review of MDM discussions, liaising with referring neurosurgical teams, assessment of the medical needs of these patients and their comorbidities, contributing to the treatment decisions, ordering appropriate investigations including radiology, implementation of the crafted treatment plan, performing the subsequent treatment response assessments, supporting patients and families, preparing them for the current and future challenges related to disease- and treatment-effects, and liaising with allied health professionals and palliative care services. These activities are focused on providing the abilitiy for patients with malignant brain tumours to experience the best lived experience possible for the remainder of their lives. The cANP/RANP-MONOS, in conjunction with the cANP/RANP-AOS (acute oncology service), will be pivotal in providing a greater non-ED direct access route for patients with malignant brain tumours who require review. The service will be well placed to link with the MDT and community services as outlined in the Sláintecare strategy.
Purpose of the post The advanced practice service (cANP/RANP-MONOS) is provided by nurses who practice at a higher level of capability as independent, autonomous and expert advanced practitioners. The overall purpose of the service is to provide safe, timely, evidence-based nurse-led care to patients at an advanced nursing level. This involves undertaking and documenting complete episodes of patient care, which include comprehensively assessing, diagnosing, planning, treating and discharging patients by collaboratively agreed local policies, procedures, protocols and guidelines and/or service level agreements/ memoranda of understanding.
The cANP/RANP-MONOS demonstrates advanced clinical and theoretical knowledge, critical thinking, clinical leadership and complex decision-making abilities.
The cANP/RANP-MONOS practices in accordance with the Code of Professional Conduct and Ethics for Registered Nurses and Registered Midwives Incorporating the Scope of Practice and Professional Guidance (NMBI, 2025), Advanced Practice (Nursing) Standards and Requirements (NMBI, 2017), and the Values for Nurses and Midwives in Ireland (Department of Health, 2016).
The cANP/RANP-MONOS service provides clinical leadership and professional scholarship in the delivery of optimal nursing services. It informs the development of evidence-based health policy at local, regional, and national levels.
The cANP/RANP-MONOS contributes to nursing research that shapes and advances nursing practice, education, and health care policy at the local, national, and international levels.
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Principle Duties and Responsibilities | The cANP/RANP-MONOS practices to a higher level of capability across six domains of competence as defined by Bord Altranais agus Cnáimhseachais na hÉireann Advanced Practice (Nursing) Standards and Requirements (NMBI, 2017).
The six domains of competence are as follows:
Each of the six domains specifies the standard that the cANP/RANP-MONOS has a duty and responsibility to demonstrate and practise.
Domain 1: Professional Values and Conduct
Standard 1 The cANP/RANP-MONOS will apply ethically sound solutions to complex issues related to individuals and populations by:
The service will agree upon the initial caseload* and scope of practice for the cANP/RANP-MONOS. They will include inclusion and exclusion criteria for the cANP/RANP
· The caseload and scope of practice for the registered advanced nurse practitioner services will evolve to reflect the current needs and changing patient and service needs
Domain 2: Clinical-Decision Making Competences
Standard 2 The cANP/RANP-MONOS will utilise advanced knowledge, skills, and abilities to engage in senior clinical decision making by:
· Discharging patients from the service per an agreed supporting policy, procedure, protocols, guidelines and referral pathways
Domain 3: Knowledge and Cognitive Competences
Standard 3 The cANP/RANP-MONOS will actively contribute to the professional body of knowledge related to the area of advanced practice by:
Domain 4: Communication and Interpersonal Competences
Standard 4 The cANP/RANP-MONOS will negotiate and advocate with other health professionals to ensure the beliefs, rights and wishes of the patient are respected by:
· Work in collaboration with the NCCP to fulfil the aims and recommendations of the National Cancer Strategy.
Domain 5: Management and Team Competences
Standard 5 The cANP/RANP-MONOS will manage risk for those service users who access the service through collaborative risk assessments and promotion of a safe environment by:
Domain 6: Leadership and Professional Scholarship Competences
Standard 6 The cANP/RANP-MONOS will lead in multidisciplinary team planning for transitions across the continuum of care by:
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Legislation, Regulations, Policies and Guidelines | The cANP/RANP-MONOS practises nursing according to: · The Code of Professional Conduct and Ethics for Registered Nurses and Registered Midwives (NMBI 2025), incorporating the Scope of Practice and Professional Guidance. · Values for Nurses and Midwives in Ireland – Care, Compassion and Commitment (Department of Health, 2016). · Advanced Practice Nursing Standards and Requirements (NMBI 2017); · National Health Policies and Procedures: National Cancer Strategy (2017-2026); NCCP SACT Model of Care (HSE); Houses of the Oireachtas Committee on the Future of Healthcare (Sláintecare 2017), National Consent Policy (HSE 2013, revised 2016). · Local policies, procedures, protocols and guidelines. Assisted Decision-Making Capacity Act (Government of Ireland, 2015; 2023).
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Performance Management and Evaluation | Performance Indicators (PIs) are required to evaluate nursing interventions and implement initiatives to improve the quality and quantity of nursing care. PIs should have a clinical nursing focus and activity breakdown, including patients seen and treated. In addition, PIs should identify areas of good practice that must be recognised and celebrated (HSE, 2015). MONOS nursing service metrics are required to be collated and returned to NCCP on a monthly basis.
The Department of Health (2017) Framework for National Performance Indicators for Nursing and Midwifery provides a guiding framework for developing Nursing and Midwifery PI.
In collaboration with the Director of Nursing, the cANP/RANP will identify and develop Nursing PI’s for their area of practice, collect and collate data which will provide evidence of the impact and effectiveness of the interventions undertaken.
The cANP/RANP-MONOS will participate in clinical audit and evaluate audit results and research findings to identify areas for quality improvement in collaboration with nursing and multidisciplinary team colleagues.
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Professional Practice Portfolio
| The cANP/RANP-MONOS must maintain a professional practice portfolio incorporating evidence of learning from continuing professional development, clinical supervision, reflective practice, and review of the scope of practice in accordance with regulatory requirements and service needs.
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Health and Safety, Quality Assurance, Risk and Clinical Governance | The management of Risk, Infection Control, Hygiene Services and Health & Safety is the responsibility of everyone and will be achieved within a progressive, honest and open environment. These organisational standards and procedures are developed and managed to comply with statutory obligations: · The cANP/RANP-MONOS demonstrates knowledge of clinical governance structures and processes supporting service provision.
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Management and Leadership: |
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Selection Criteria
Selection criteria outline the qualifications, skills, knowledge and/or experience that the successful candidate would need to demonstrate for successful discharge of the responsibilities of the post.
Applications will be assessed on the basis of how well candidates satisfy these criteria.
Mandatory (Candidate ANP)
1. Statutory Registration, Professional Qualifications, Experience, etc
(a) Eligible applicants will be those who on the closing date for the competition:
(i) Be a registered nurse with the Nursing and Midwifery Board of Ireland [NMBI]
(Bord Altranais agus Cnáimhseachais na hÉireann) or entitled to be so
registered.
(ii) Be registered in the division(s) of the Nursing and Midwifery Board of Ireland
(Bord Altranais agus Cnáimhseachais na hÉireann) Register for which the
application is being made or entitled to be so registered.
In recognition of services that span several patient/client groups and/or
division(s) of the register, provide evidence of validated competences relevant
to the context of practice.
(iii) Have a broad base of clinical experience relevant to the advanced field of
practice
(iv) Be eligible to undertake a Master’s Degree (or higher) in Nursing or a Master’s
Degree, which is relevant, or applicable, to the advanced field of practice. The
Master’s programme must be at Level 9 on the National Framework of
Qualifications (Quality & Qualifications Ireland), or equivalent. Educational
preparation must include at least three modular components pertaining to the
relevant area of advanced practice, in addition to clinical practicum.
OR
(v) Be currently undertaking a Master’s Degree in Nursing (Advanced Practice
Pathway) or be eligible to register to undertake additional Level 9 National
Framework of Qualifications (Quality and Qualifications Ireland) specific modules
of a Master’s Degree in Nursing (Advanced Practice Pathway) within an agreed
timeframe. Educational preparation must include at least three modular
components pertaining to the relevant area of advanced practice, in addition to
clinical practicum.
OR
(vi) Possess a Master’s Degree (or higher) in Nursing or a Master’s Degree which is
relevant, or applicable, to the advanced field of practice. The Master’s
programme must be at Level 9 on the National Framework of Qualifications
(Quality & Qualifications Ireland), or equivalent. Educational preparation must
include at least three modular components pertaining to the relevant area of
advanced practice, in addition to clinical practicum.
(b) Candidates must possess the requisite knowledge and ability including a high standard of
suitability and clinical, professional and administrative capacity to properly discharge the
functions of the role.
2. Annual registration
(i) Practitioners must maintain live annual registration on the appropriate/relevant Division of
the register of Nurses and Midwives maintained by the Nursing and Midwifery Board of
Ireland [NMBI] (Bord Altranais agus Cnáimhseachais na hÉireann) for the role.
(ii) Confirm annual registration with NMBI to the HSE by way of the annual Patient Safety
Assurance Certificate (PSAC).
3. Health
Candidates for and any person holding the office must be fully competent and capable of
undertaking the duties attached to the office and be in a state of health such as would indicate a
reasonable prospect of ability to render regular and efficient service.
4. Character
Candidates for and any person holding the office must be of good character.
Mandatory (Registered ANP)
1. Statutory Registration, Professional Qualifications, Experience, etc
(a) Eligible applicants will be those who on the closing date for the competition:
(i) Are registered in the Advanced Nurse Practitioner division of the Nursing
and Midwifery Board of Ireland Register maintained by the Nursing &
Midwifery Board of Ireland [NMBI] (Bord Altranais agus
Cnáimhseachais na hÉireann).
OR
(ii) Be eligible to register in the Advanced Nurse Practitioner division of the
Nursing and Midwifery Board of Ireland Register maintained by the
Nursing & Midwifery Board of Ireland [NMBI] (Bord Altranais agus
Cnáimhseachais na hÉireann) by meeting the criteria for registration as
an Advanced Nurse Practitioner as specified www.nmbi.ie
(iii) Have a broad base of clinical experience relevant to the advanced field of
practice
(iv) Demonstrates the competences relevant to the specialist area of advanced
practice
(b) Candidates must possess the requisite knowledge and ability including a high
standard of suitability and clinical, professional and administrative capacity to
properly discharge the functions of the role.
2. Annual registration
(i) On appointment, practitioners must maintain live annual registration on
the Advanced Nurse Practitioner Division of the register of Nurses and
Midwives maintained by the Nursing and Midwifery Board of Ireland
(Bord Altranais agus Cnáimhseachais na hÉireann) for the role
(ii) Practitioners must confirm annual registration with NMBI to the HSE
by way of the annual Patient Safety Assurance Certificate (PSAC).
3. Health
Candidates for and any person holding the office must be fully competent and capable of
undertaking the duties attached to the office and be in a state of health such as would
indicate a reasonable prospect of ability to render regular and efficient service.
4. Character
Candidates for and any person holding the office must be of good character.
Post Specific Requirements, Additional Qualifications and/or Experience Required | Have a depth and breadth of haematology/oncology nursing care knowledge and skills relevant to the ANP role. The organisation may specify other post specific requirements in terms of additional post registration education and/or clinical experience(s) related to the cANP/RANP-MONOS service in line with expansion of practice and caseload review. |
Other Requirements Specific to the Post | Access to transport as the post may involve some travel
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The reform programme outlined for the health services may impact on this role and as structures change the job description may be reviewed.
This job description is a guide to the general range of duties assigned to the post holder. It is intended to be neither definitive nor restrictive and is subject to periodic review with the employee concerned. It is not intended to be a comprehensive list of all duties involved and consequently, the post holder may be required to perform other duties as appropriate to the post which may be assigned to him/her from time to time and to contribute to the development of the post while in office. | |
Terms and Conditions of Employment- Registered Advanced Nurse Practitioner (cANP/RANP)
Tenure | The appointment is whole-time and permanent. Given the developmental nature of this service, the successful registered advanced nurse practitioner will be required to adhere to the terms set out below, which are specific to this appointment.
· In line with Standards and requirements set out by NMBI (2017) Advanced Practice (Nursing) Standards and Requirements the cANP/RANP-MONOS will continue to engage in a process of self-development, structured education and clinical supervision specific to the service {MONOS} in order to maintain and develop advanced clinical nursing knowledge and critical thinking skills to maintain the competences necessary to independently provide efficient, effective, safe patient care.
Appointment as an employee of the Health Service Executive is governed by the Health Act 2004 and the Public Service Management (Recruitment and Appointment) Act 2004.
The above job description is not intended to be a comprehensive list of all duties involved. Consequently, the post holder may be required to perform other duties appropriate to the post that may be assigned to him/her from time to time and contribute to the development of the post while in office.
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Remuneration | The salary scale for this post adheres to national HSE-approved salary scales. |
Working Week | The standard working week applying to the post is 37.5 hours.
HSE Circular 003-2009 “Matching Working Patterns to Service Needs (Extended Working Day / Week Arrangements); Framework for Implementation of Clause 30.4 of Towards 2016” applies. Under the terms of this circular, all new entrants and staff appointed to promotional posts from Dec 16th 2008 will be required to work agreed roster / on call arrangements as advised by their line manager. Contracted hours of work are liable to change between the hours of 8 am-8 pm over seven days to meet the requirements for extended day services in accordance with the terms of the Framework Agreement (Implementation of Clause 30.4 of Towards 2016).
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Annual Leave | The annual leave entitlement adheres to national HSE approved leave entitlements
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Superannuation
| All pensionable staff become members of the pension scheme |
Probation | Every appointment of a person who is not already a permanent officer of the Health Service Executive or of a Local Authority shall be subject to a probationary period of6 months |
Protection of Persons Reporting Child Abuse Act 1998
| This post is one of those designated in accordance with Section 2 of the Protection of Persons Reporting Child Abuse Act, 1998. You will remain a designated officer for the duration of your appointment in this post or for the duration of your appointment to such other post as is included in the categories specified in the Ministerial Direction. Such officers will, on receiving a report of child abuse, formally notify the Senior Social Worker in the community care area in which the child is living. |
If an appointee has previously been employed in the Civil or Public Service and that appointee is entitled to or in receipt of a pension from the Civil or Public Service or where a Civil/ Public Service pension comes into payment during the appointee’s re-employment that pension will be subject to abatement in accordance with Section 52 of the Public Service Pensions (Single Scheme and other Provisions) Act 2012.
Please note: In applying for this position you are acknowledging that you understand that the abatement provisions, where relevant, will apply. It is not envisaged that the employing Department/ Office/ Body will support an application for an abatement waiver in respect of appointments to this position
Supplementary information:
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The Hospital | ||
Management Unit: | ||
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Informal Enquiries ONLY to: (No applications will be accepted through this email address)
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Name: | Yvonne Whelan | |
Title: | Directorate Nurse Manager | |
Email address: | yvonnewhelan@beaumont.ie | |
Telephone: | 01 852 8197 | |
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