Thames Hospice

Senior Staff Nurse/ Community Response Paramedic

The closing date is 26 August 2025

Job summary

We have exciting opportunities within our Hospice at Home team for Senior Staff Nurses or Community Response Paramedics. You will need to be an experienced Registered Nurse or Registered Paramedic with experience of palliative care or other relevant experience. This is a busy but rewarding role working in a supportive team with a strong team spirit, the ideal candidate will be capable of autonomous decision making in the community, possessing good communication skills, excellent care values putting the patient first responding to urgent calls for symptom management whilst collaborating with other hospice services, carers, and community partners.

These exciting opportunities offering a more flexible approach to working, to fit around your lifestyle and provide that all-important work-life balance. We offer shift enhancements as follows:

Work on a Saturday - Time and one third 1.33

Work on a Sunday or Bank Holiday - Time and two thirds 1.66

Work after 8pm-8am - Time and one third 1.33

Main duties of the job

Care with Agility:

To work as part of our specialist, highly skilled and dedicated Hospice at Home Team making sure our patients feel more comfortable and at ease in familiar surroundings.

To act as a resource to patients in East Berkshire and South Bucks who are on the End of Life Register by offering assessment, complex symptom control, emotional support, advanced care planning, advice, and treatment.

To act as a resource to fellow professional colleagues across the locality of East Berkshire.

To function autonomously in providing excellent end of life care advice

Advise and collaborate with professional colleagues on management of physiological and/or psychological symptoms

Use specialist skills and high level decision making, including the evaluation of research and evidence, in the assessment and management of complex symptoms in patients homes

About us

Thames Hospice is an independent adult hospice with a beautiful 28 bed hospice at Bray Lake in Maidenhead with views of the lake and state of the art facilities.

We are always looking for excellent people to bring their skills, values driven behaviours and commitment to ambition to deliver quality of life, to the end of life, for everyone to join our charity.

As one team we raise money, support each other whether in clinical teams, or corporate services to ensure everything runs efficiently and smoothly and delivers the best outcome for our patients and their families. Being part of a great team in a complex organisation is demanding, but also really rewarding. If you want to be part of our Hospice at Home team then wed love to work with you.

Culture:

We look for people who really care about their work and have huge amounts of compassion to give. If you want to work as part of a culture which develops your skills and values, and builds your confidence to be the best version of yourself, then this is the right place for you. We work hard to look after our people, our patients, our families and our reputation.

All patients are Thames Hospice patients and therefore we always support the patient and their family irrespective of our individual role. We represent the wider charity and clinical model at all times.

Our organisational values are:

C - Care

A - Ambition

R - Respect

E - Excellence

Details

Date posted

14 August 2025

Pay scheme

Other

Salary

£44,000 a year plus shift enhancements

Contract

Permanent

Working pattern

Full-time

Reference number

B0488-25-0007

Job locations

Windsor Road

Maidenhead

Berkshire

SL6 2DN


Job description

Job responsibilities

Financial Accountability:

Youll find more for less solutions and lead a cost conscious culture, ensuring sustainability for the future

Using initiative to ensure time is utilised well, consideration to carbon footprint and demonstrating creativity to keep this low.

Youll be detailed conscious and a forward planner who has excellent IT and planning skills to ensure the smooth operation of the team within budget

Supportive Culture:

Participate in external educational activities in collaboration with the Thames Hospice Education Department

Provide educational mentorship and facilitation to new team members and students

Extending reach:

To ensure all communication with people from a variety of backgrounds with diverse needs is accurate, timely and aligned to our values

To role model the right behaviours and ways of working to understand ethnic, cultural, spiritual, religious and any other differences between people to ensure our people, patients and families feel included and supported

Job description

Job responsibilities

Financial Accountability:

Youll find more for less solutions and lead a cost conscious culture, ensuring sustainability for the future

Using initiative to ensure time is utilised well, consideration to carbon footprint and demonstrating creativity to keep this low.

Youll be detailed conscious and a forward planner who has excellent IT and planning skills to ensure the smooth operation of the team within budget

Supportive Culture:

Participate in external educational activities in collaboration with the Thames Hospice Education Department

Provide educational mentorship and facilitation to new team members and students

Extending reach:

To ensure all communication with people from a variety of backgrounds with diverse needs is accurate, timely and aligned to our values

To role model the right behaviours and ways of working to understand ethnic, cultural, spiritual, religious and any other differences between people to ensure our people, patients and families feel included and supported

Person Specification

Experience

Essential

  • Use advanced communication skills to negotiate, influence and challenge practice in all settings
  • Assess and plan effective end of life care interventions, communicating these planned interventions clearly and concisely both in verbal and written format to other Health Care Professionals
  • Monitor and evaluate the outcome of planned care
  • Work collaboratively with Living Well Services to ensure all patients have access to RN/Paramedic assessment and to and other Hospice Services. Use high level communication skills to elicit concerns, establish and maintain a trusting and therapeutic relationship with patients and their family/carers facilitating the sharing of sensitive and emotive information relating to prognosis and disease, death and dying
  • Promote effective communication, coordination of care and appropriate referrals to other services
  • Respond to urgent calls for symptom management to prevent unnecessary hospital admissions
  • Ability to carry out practical skills which can include, but not isolated to, catheter care, physical assessment, medication administration and phlebotomy
  • Attend Community MDTs to facilitate learning and ensure best practice
  • Participate in a 7-day a week service across the locality
  • Ensure that the team meet contractual and organisational KPIs
  • Participate in audit/s of the service, to identify if improvements and/or changes have enabled an improved patient and care experience
  • Report accidents, incidents and complaints in area of responsibility as per procedure, participating in investigations as required
  • Ensure staff understand and work to the processes for lone working, role boundaries and patient confidentiality
  • To undertake any other reasonable duties in accordance with job role

Team working and communication

Essential

  • Experienced in maintaining effective relationships with colleagues
  • Ability to quickly build a rapport and establish professional relationships with others, based on trust
  • and understanding
  • Experience of mentoring Registered Nurses and Student Nurses
  • Ability and skills to performance manage staff
  • Experience of communicating effectively with all members of the multidisciplinary team, both verbally and in writing
  • Experience of communicating effectively with patients, carers and families, both face to face and onthe telephone

Personal drive, commitment and resilience & IT Skills

Essential

  • Enthusiastic and able to use your own initiative
  • Committed to delivering quality of life, to the end of life, for everyone, ensuring the patient is central to all decisions regarding the provision of their care
  • Able to operate whilst being calm under pressure, open minded and organised
  • Skilled to use our IT systems for efficiency and simplicity
  • Able to maintain effective relationships with colleagues and quickly build a rapport to establish professional relationships with others, based on trust and understanding.
  • Experience in identifying and managing conflict
  • Able to work logically and accurately with attention to detail
  • Ability to plan and prioritise a varied workload
  • Experience of communicating effectively with all members of the multidisciplinary team, both verbally and in writing
  • Able to communicate effectively with patients, carers and families, both face to face and on the telephone
  • Experience of using multiprofessional records to fully and accurately document patient care and interactions

Special conditions

Essential

  • Appointment is subject to an Enhanced Disclosure and Barring Service check including Barred Lists.
  • Post holder to be (or willing to be) immunised for , Hepatitis B, MMR, Tuberculosis and Chickenpox.
  • Able to drive and have access to own car, covered for business use.
  • The post holder must maintain their professional registration.

Qualifications

Essential

  • Registered Nurse on NMC register or Registered Paramedic with HCPC
  • Evidence of broad nursing experience including palliative care or paramedic practitioner or relevant experience
  • Minimum of 12 months post preceptorship experience in a community setting, supporting patients in their own home or evidence of autonomous decision making in the community
  • Knowledge and understanding of current developments in palliative care
  • Demonstrable skills in written and spoken English to enable effective communication about nursing topics with patients and colleagues.
  • Ability to put the needs of patients first and look after their interests
  • Willingness and ability to demonstrate commitment to Thames Hospice values.
Person Specification

Experience

Essential

  • Use advanced communication skills to negotiate, influence and challenge practice in all settings
  • Assess and plan effective end of life care interventions, communicating these planned interventions clearly and concisely both in verbal and written format to other Health Care Professionals
  • Monitor and evaluate the outcome of planned care
  • Work collaboratively with Living Well Services to ensure all patients have access to RN/Paramedic assessment and to and other Hospice Services. Use high level communication skills to elicit concerns, establish and maintain a trusting and therapeutic relationship with patients and their family/carers facilitating the sharing of sensitive and emotive information relating to prognosis and disease, death and dying
  • Promote effective communication, coordination of care and appropriate referrals to other services
  • Respond to urgent calls for symptom management to prevent unnecessary hospital admissions
  • Ability to carry out practical skills which can include, but not isolated to, catheter care, physical assessment, medication administration and phlebotomy
  • Attend Community MDTs to facilitate learning and ensure best practice
  • Participate in a 7-day a week service across the locality
  • Ensure that the team meet contractual and organisational KPIs
  • Participate in audit/s of the service, to identify if improvements and/or changes have enabled an improved patient and care experience
  • Report accidents, incidents and complaints in area of responsibility as per procedure, participating in investigations as required
  • Ensure staff understand and work to the processes for lone working, role boundaries and patient confidentiality
  • To undertake any other reasonable duties in accordance with job role

Team working and communication

Essential

  • Experienced in maintaining effective relationships with colleagues
  • Ability to quickly build a rapport and establish professional relationships with others, based on trust
  • and understanding
  • Experience of mentoring Registered Nurses and Student Nurses
  • Ability and skills to performance manage staff
  • Experience of communicating effectively with all members of the multidisciplinary team, both verbally and in writing
  • Experience of communicating effectively with patients, carers and families, both face to face and onthe telephone

Personal drive, commitment and resilience & IT Skills

Essential

  • Enthusiastic and able to use your own initiative
  • Committed to delivering quality of life, to the end of life, for everyone, ensuring the patient is central to all decisions regarding the provision of their care
  • Able to operate whilst being calm under pressure, open minded and organised
  • Skilled to use our IT systems for efficiency and simplicity
  • Able to maintain effective relationships with colleagues and quickly build a rapport to establish professional relationships with others, based on trust and understanding.
  • Experience in identifying and managing conflict
  • Able to work logically and accurately with attention to detail
  • Ability to plan and prioritise a varied workload
  • Experience of communicating effectively with all members of the multidisciplinary team, both verbally and in writing
  • Able to communicate effectively with patients, carers and families, both face to face and on the telephone
  • Experience of using multiprofessional records to fully and accurately document patient care and interactions

Special conditions

Essential

  • Appointment is subject to an Enhanced Disclosure and Barring Service check including Barred Lists.
  • Post holder to be (or willing to be) immunised for , Hepatitis B, MMR, Tuberculosis and Chickenpox.
  • Able to drive and have access to own car, covered for business use.
  • The post holder must maintain their professional registration.

Qualifications

Essential

  • Registered Nurse on NMC register or Registered Paramedic with HCPC
  • Evidence of broad nursing experience including palliative care or paramedic practitioner or relevant experience
  • Minimum of 12 months post preceptorship experience in a community setting, supporting patients in their own home or evidence of autonomous decision making in the community
  • Knowledge and understanding of current developments in palliative care
  • Demonstrable skills in written and spoken English to enable effective communication about nursing topics with patients and colleagues.
  • Ability to put the needs of patients first and look after their interests
  • Willingness and ability to demonstrate commitment to Thames Hospice values.

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.

UK Registration

Applicants must have current UK professional registration. For further information please see NHS Careers website (opens in a new window).

Additional information

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.

UK Registration

Applicants must have current UK professional registration. For further information please see NHS Careers website (opens in a new window).

Employer details

Employer name

Thames Hospice

Address

Windsor Road

Maidenhead

Berkshire

SL6 2DN


Employer's website

https://www.thameshospice.org.uk/ (Opens in a new tab)

Employer details

Employer name

Thames Hospice

Address

Windsor Road

Maidenhead

Berkshire

SL6 2DN


Employer's website

https://www.thameshospice.org.uk/ (Opens in a new tab)

Employer contact details

For questions about the job, contact:

Hospice at Home Manager

Fran Rice

f.rice@thameshospice.org.uk

01753848925

Details

Date posted

14 August 2025

Pay scheme

Other

Salary

£44,000 a year plus shift enhancements

Contract

Permanent

Working pattern

Full-time

Reference number

B0488-25-0007

Job locations

Windsor Road

Maidenhead

Berkshire

SL6 2DN


Supporting documents

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