Clinical Nurse Specialist in Spine​/Metastatic Spinal Cord Compression

Position: Clinical Nurse Specialist in Spine/ Metastatic Spinal Cord Compression
Location: Greater London

Clinical Nurse Specialist in Spine/ Metastatic Spinal Cord Compression

Closing date is 20 January 2026

We are seeking an experienced Clinical Nurse Specialist to lead the Metastatic Spinal Cord Compression (MSCC) pathway across the South West London Network. This pivotal role ensures timely triage, coordination, and delivery of specialist care for patients with spinal emergencies, in line with NICE guidance.

You will act as the expert point of contact for MSCC referrals, working closely with multidisciplinary teams and external partners to provide seamless, patient‑centred care. Key responsibilities include managing a caseload, supporting decision‑making for treatment (including surgery), and maintaining continuity from diagnosis through follow‑up.

This is an exciting opportunity to influence service development, uphold clinical safety, and improve outcomes for patients with complex spinal conditions.

Main duties of the job

As the Clinical Nurse Specialist for Spine/MSCC, you will lead the South West London MSCC pathway, ensuring timely triage and coordination of care in line with NICE guidelines. You will act as the expert point of contact for MSCC referrals, manage a caseload, run nurse‑led clinics, and provide specialist advice and support to patients, families, and healthcare professionals throughout treatment.

You will work autonomously, maintain accurate care plans, and collaborate with multidisciplinary teams to deliver seamless, patient‑centred care. Responsibilities include inpatient and outpatient support, MDT coordination, development of clinical protocols, risk management, and service improvement initiatives.

About us

St George's, Epsom and St Helier University Hospitals and Health Group cares for a population of four million people in South West London and North East Surrey. Our sites include St George's Hospital, one of 11 major trauma centres in the UK and the largest healthcare provider and major teaching hospital in the area;
St Helier Hospital, home to the South West Thames Renal and Transplantation Unit and Queen Mary's Hospital for Children; and Epsom Hospital, home to the South West London Elective Orthopaedic Centre (SWLEOC).

After years of collaboration, our two Trusts became a hospitals group in 2021. While remaining as two separate Trusts, being a hospitals group will help us to collaborate more closely on research, and the development, education, and training of our 17,000‑strong workforce.

At gesh we are committed to supporting flexible working arrangements. Applicants are encouraged to discuss any flexibility they may need during the recruitment process.

Job responsibilities

• Lead MSCC pathway management and referrals across the South West London Network.
• Deliver specialist nursing care for patients with MSCC and spinal conditions.
• Provide expert clinical advice, education, and support to patients and staff.
• Coordinate investigations, treatment decisions, and post‑operative follow‑up.
• Participate in service development, audits, and research projects.
• Act as a role model, offering leadership, mentorship, and professional development.
• Ensure compliance with NICE guidance, Trust policies, and national standards.

This is a fixed‑term maternity leave cover opportunity, offering an exciting chance to maintain and enhance a critical service that safeguards patient safety and improves outcomes.

Person Specification Qualifications

• Registered Nurse (Level
  1)
• Degree in Health‑related subject
• Advanced communication skills training

Experience

• At least 2 years in oncology or spinal/neuro surgery
• Minimum 5 years post‑registration experience

Skills

• Ability to work autonomously and within a team
• Excellent communication and interpersonal skills
• Leadership and MDT collaboration

Knowledge

• Understanding of national cancer strategies (e.g. NICE, NCPES, Peer Review)
• Knowledge of clinical governance and safeguarding
• Knowledge of genomics, health inequalities, and digital health tools

Personal Attributes

• Compassionate and self‑aware

Disclosure and Barring Service Check

This post is subject to the Rehabilitation of Offenders Act (Exceptions Order) 1975 and as such it will be necessary for a submission for Disclosure to be made to the Disclosure and Barring Service (formerly known as CRB) to check for any previous criminal convictions.

St George's University Hospitals NHS Foundation Trust

Address

St Georges Site

St Georges NHS Foundation Trust, Blackshaw Road, Tooting SW17 0QT

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