Since qualifying in 1994, Sandra has worked within oncology, initially at the Middlesex Hospital, London where her interest in oncology nursing first started. She moved to the Kent Oncology Centre in 1997 and has been working as a Macmillan Lung Cancer Nurse Specialist since 2000.
Her role has developed immensely since then with the new developments in treatments and nurse-led initiatives. She has developed a nurse-led TKI clinic which has now expanded to reviewing patients on chemotherapy and immunotherapy. In 2011 she set up a Diagnosis and Treatment information nurse led clinic following MDT, this was as a result of the pathway changing and patients being seen pre-diagnosis.
She has completed the Independent non-medical prescribing course which has enhanced her nurse-led practice.
Her special interest in lung cancer is ensuring patients have a streamlined pathway through effective communication within the multidisciplinary team. More recently she has become involved with developing an immunotherapy assessment tool to ensure safe and standardised assessment for patients receiving immunotherapy.