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Job summary

Main area
Palliative Care
Grade
NHS AfC: Band 7
Contract
Permanent
Hours
  • Full time
  • Part time
  • Flexible working
37.5 hours per week (3-4 shifts per week)
Job ref
333-G-HC-1504
Employer
Central and North West London NHS Foundation Trust
Employer type
NHS
Site
Beaufort House
Town
Hillingdon
Salary
£53,751 - £60,651 per annum incl. HCAS [pro rata if PT]
Salary period
Yearly
Closing
05/09/2025 23:59

Employer heading

Central and North West London NHS Foundation Trust logo

Palliative Care Clinical Nurse Specialist

NHS AfC: Band 7

 

CNWL (Central and North West London NHS Foundation Trust) has almost 8,000 staff providing integrated healthcare to a third of London's population, Milton Keynes and areas beyond.  We involve service users, carers, the public, staff and partner organisations in the way that we are run. 

Our catchment area spans diverse communities, with over 100 first languages spoken. It contains areas of great affluence as well as areas of much deprivation.  We are committed to providing services that meet the needs of the people who use them, and we actively encourage involvement from local people who can help make a difference.  We’re proud of our diversity and we continue to undertake new initiatives to advance equality for LGBT+, BME and people with disabilities to promote good relations and understanding between our staff.

We are recognised locally, nationally and internationally for providing high quality, innovative healthcare. We aim to employ only the best people, and our experts are frequently called upon to contribute to national health strategy and policy, and many models of our care have been adapted for use in other countries.

We offer a generous relocation package (subject to eligibility assessment) and flexible working options, including bank assignments for most roles.  For more information on these and other benefits of working for us, see our   Benefits, Reward and Wellbeing page

Become part of our team. We care for you as much as you care for others.

CNWL NHS Foundation Trust are committed to safeguarding all children and vulnerable adults and expect all staff and volunteers to share this commitment. We follow safe recruitment practices to protect children and vulnerable adults.

Job overview

CNWL are pleased to announce a vacancy within: Hillingdon Single Point of Access (SPA) and Palliative responsive Nursing Service YLL 24/7

We are looking for an innovative, enthusiastic and dynamic nurse to join our team whose aim is to:

  • Improve the coordination and continuity of care and support for patients and their families/carers.
  • Enable responsive in and out-of-hours nursing care for people in the community who are at the end of life
  • Introduce a single contact telephone number, to enable direct access to services and support for health and social care professionals, patients and their families/carers.

We are looking for an expert nurse with first class clinical skills, who have the ability to effectively triage clinical calls, have leadership ability, are strong team players, and who enjoy working in an ever changing and innovative environment.

You should have a creative, imaginative and flexible approach to service delivery and quality improvement and have excellent interpersonal skills with post graduate experience of working in the community, hospital or hospice environment with associated palliative care experience. Flexible working hours are available.

This is a 24 hours service, day and night shifts required.

Car user essential.

Main duties of the job

  • Improve the coordination and continuity of care and support for patients and their families/carers.
  • Triaging telephone calls in to the service from Patients, carers, relatives and Clinicians.
  • Triaging referrals in to the service
  •  Enable responsive in and out-of-hours nursing care for people in the community who are at the end of life providing high quality end of life care. 
  • Working closely within a multi disciplinary team  ensuring excellent communications are upheld.
  • Hospital admission avoidance
  • Upholding ACP wishes of patients and supporting them to achieve their desired preferred place or care/death

Working for our organisation

YLL 247 are a small team of CNS's, HCA's and admin that strive to provide the best possible care to Palliative/end of life patients in their own homes in the community.

Working for YLL 247, we pride ourselves on great team work and rising to the challenges of day to day working in such a diverse community. No 2 shifts are the same with YLL 247 which makes it challenging but rewarding at the same time.

The successful applicant may have contact with patients or service users. As an NHS Trust we strongly encourage and support vaccination as this remains the best way to protect yourself, your family, your colleagues and of course patients and service users when working on our healthcare settings.

Detailed job description and main responsibilities

  • To be professionally and legally accountable for all work undertaken. To work within the Provider operational guidelines the Trusts, and NMC Code of Conduct at all times.
  • To ensure that the patient and their informal carers have an understanding of treatment protocols and give informed consent to examination and treatment interventions recommended.
  • To undertake specialist-nursing triage and assessment of clients with palliative care needs through subjective questioning, objective examination, and study of appropriate written material (e.g. clinical records) available. This will include acting as the first point of contact for palliative care emergencies across Hillingdon in both Primary and Secondary care settings and act as an expert nurse in palliative care for patients and their families with palliative care needs.
  • To independently receive, assess and make referrals from a variety of sources where no other nursing professional is currently involved. To establish priority, to determine needs, initiate and monitor treatment plans and to direct and support clinicians in this process.
  • To work independently within a general Multi-Disciplinary Team to advise where needed, on a palliative approach to patients who may not be currently known to the Palliative Care Team
  • To work autonomously in isolated community care settings that vary in relation to local socio economic and multi-cultural
  • To swiftly respond and lead resolution in challenging or crisis situations within palliative care- i.e. difficult family situations, emergencies, and professional
  • To use comprehensive knowledge of other multidisciplinary roles and external agencies to ensure best referral management and achieve best patient
  • To contribute to the development and implementation of uni-disciplinary and multi- disciplinary clinical policies, guidelines, protocols and care pathway
  • To participate in multi-disciplinary assessments and cross agency assessments as required.
  • To ensure dignity for the patients and their families at all
  • To ensure clinical records are recorded and maintained on the team
  • To provide specialist contribution to health promotion and health education initiatives within the
  • Attend, and actively participate in relevant departmental and nursing team meetings.
  • To contribute to maintaining effective communication lines within the service and with other relevant services.
  • To attend, actively participate in, and lead multi-disciplinary meetings and case reviews as required.
  • To participate in educational programmes and internal/external training initiatives designed to improve palliative skills in a range of professionals
  • To act when required as a mentor for nursing students undergoing CPD courses.
  • To act as an educational resource for other nursing staff in their management of patients and families with palliative care needs.
  • To evaluate all education and training initiatives undertaken and assist administration keep up to date statistics on personal performance.
  • To utilise opportunities to develop skills and knowledge further, keep up-to-date with current practice in this field and attend accredited courses.
  • To train and share with others the specialist knowledge gained through appropriate study or accredited/recognised specialist professional courses.
  • To comply with all mandatory training.
  • To establish and maintain effective lines of communication within the team, with service users, and with other health agencies.
  • To communicate sensitive information in a form that is understandable to patients and their informal carers and promotes patients partnership with care.
  • To communicate sensitive information in a manner that is recommended by national and local guidance.
  • To effectively use a variety of verbal and non-verbal communication skills/tools to ensure that patients and their informal carers understand individual therapeutic education and advice provided.
  • To provide copies of all correspondence to patients according to the Trusts policies.
  • To advise and negotiate complex information exchange, information, interrelationship issues arising with staff / patients and their carers/ local agencies. Inform the Line Manager promptly of any complaints or concerns expressed about the service.
  • To make effective presentations using a range of multi-media resources to internal and external staff groups for public relations and training/ education purposes
  • To contribute to the research activities of the Palliative Care Team as required
  • To support research activity and studies underway e.g. by recruiting participants as required.
  • To keep abreast of relevant clinical issues and research in the field of palliative care
  • To ensure that clinical practice is in line with national and local nursing guidelines and demonstrate clinical effectiveness with patient care
  • Contribute and support to the Clinical Governance strategy of the Palliative Care Centre and the Trust as required
  • Synthesise data and evidence from published research where applicable to the role, service and current practice.

Person specification

Qualifications

Essential criteria
  • RGN [NMC Registered]
  • Relevant post basic qualifications
  • Recognised teaching qualification
  • Achieved or working towards first degree
  • Current driving licence
Desirable criteria
  • Non medical prescriber and physical assessment qualification

Skills/ Knowledge

Essential criteria
  • Contemporary and relevant clinical knowledge and expertise
  • Ability to work individually and as a team member
  • Basic computer literacy
  • Ability to negotiate with a variety of clinical professionals, patients and their families
  • Ability to prioritise work load and manage time effectively
  • Ability to solve problems and take action to address issues
  • Experience of working with integrated care pathways
  • Ability to supervise and develop people

Experience

Essential criteria
  • Substantial post registration experience
  • Extensive experience in appropriate speciality
  • Experience of case/ward management
  • Experience of teaching clinical staff and patients and families
  • Experience of caring for patients in their own home
Desirable criteria
  • Demonstrate ability to initiate, evaluate and sustain change management

Audit and Research

Essential criteria
  • Previous experience of audit, standard setting and quality issues
  • Ability to incorporate research into practise and to motivate other to do so.
Desirable criteria
  • Experience of user involvement in service planning and delivery

Professional Requirements

Essential criteria
  • Take responsibility for and demonstrate evidence of own professional development
  • Maintenance of professional registration
  • Demonstrate commitment to development of palliative and EOLC
  • Understanding of equal opportunities

Employer certification / accreditation badges

Trust IDWe are a Living Wage EmployerEmployers for CarersPurple SpaceHealthy Workplace - Excellence 2018Veteran AwareNo smoking policyMenopause Friendly EmployerDefence Employer Recognition Scheme (ERS) - BronzeNational Autistic SocietyDisability confident committedStonewall equality policy. Equality and justice for lesbians, gay men, bisexual and trans people.AccessAbleStonewall Gold 2022Carer Confident -AccomplishedNHS Rainbow Badge - BronzeArmed Forces CovenantStonewall Top 100 2024Stonewall Gold 2024Working Chance - unlocking women's potential

Applicant requirements

You must have appropriate UK professional registration.

This post is subject to the Rehabilitation of Offenders Act 1974 (Exceptions) Order 1975 (Amendment) (England and Wales) Order 2020 and it will be necessary for a submission for Disclosure to be made to the Disclosure and Barring Service.

Documents to download

Apply online now

Further details / informal visits contact

Name
Barbara Brummen
Job title
Team Leader
Email address
[email protected]
Telephone number
018954585235
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