Thames Hospice

Clinical Specialist Non-Medical Prescriber

The closing date is 24 April 2026

Job summary

This is an exciting opportunity to join an experienced and passionate clinical team, who are dedicated in delivering excellent palliative care, to patients in the community. As an individual, you will need to possess excellent communication skills, have extensive knowledge in palliative care, champion a culture of compassion and be able to work under pressure.

In this role you will be supporting patients, who have a terminal diagnosis and need support with the challenges they face, so they can remain in their home. The role does require a positive can-do attitude, where hurdles are not seen as barriers but as challenges to overcome. You will need an ability to work as a team, as well as autonomously and be prepared to travel to patients homes.

As a prescriber, you will need to feel confident with making prescribing decisions which align to palliative guidelines, while also demonstrating excellent ability to rationalise choices made. In addition, as a senior part of the team, you will need to offer education, support and leadership to your colleagues who are developing in their roles. The role also does entail a need to be flexible to the demand of the day and to contribute to team clinical meetings, where additional perspectives are welcomed.

You will have the opportunity to join a dedicated and compassionate team who strive to improve every day and an environment where every voice is valued.

This job advert will close as soon as sufficient applications have been received

Main duties of the job

To work as part of our specialist, highly skilled and dedicated Hospice at Home team, making sure our patients feel 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 and function autonomously in providing excellent end-of-life care advice

About us

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.

We look for people who really care about their work and have huge amounts of compassion to give. 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 - Compassion

A - Ambition

R - Respect

E - Excellence

Date posted

09 April 2026

Pay scheme

Other

Salary

£52,200 a year

Contract

Permanent

Working pattern

Full-time

Reference number

B0488-26-0003

Job locations

Windsor Road

Maidenhead

Berkshire

SL6 2DN

Job description

Job responsibilities

Care with Agility: excellent care and support tailored to patients and families in their preferred setting:

Triage all referrals via the 24-hour advice line to undertake skilled holistic assessment and triage

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

Financial Sustainability: generating sustainable funding with integrity to ensure excellent hospice care:

Use resources responsibly and efficiently to deliver high-quality care in a cost-effective manner

Contributes to sustainable healthcare provision through efficient working practices

Supportive Culture: fostering an inclusive, compassionate culture, ensuring outstanding care and management:

To participate in all areas of performance management, to include recruitment, appraisal and monitoring staff performance

Motivate all staff and others through providing training, supervision and mentorship.

Demonstrates professionalism, empathy and respect in all interactions whilst being able to work independently and collaboratively

Upholds the organisations values and promotes a culture of kindness and accountability

Extending reach: expanding access to our services, ensuring equitable care for all, especially underserved communities:

Delivers care that is accessible and equitable for all individuals, regardless of background

Promotes awareness and understanding of available services within the community

Specific Role Responsibilities:

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

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

To instigate appropriate treatment following assessment (including prescribing medication as an independent non-medical prescriber)

Monitor and evaluate the outcome of planned care

Work collaboratively with hospice-wide services to ensure all patients have access to RN/Paramedic assessment when required. 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

Proactively co-ordinate and manage a caseload

Respond to urgent calls for symptom management to prevent unnecessary hospital admissions

Attend GSF meetings to discuss patients on caseload

Attend Community MDTs to facilitate learning and ensure best practice

Participate in a 7-day a week service across the locality

Provide mentorship and facilitation to other professionals with less experience in end-of-life care

Prescribe, where appropriate and competent, for palliative care symptoms in line with personalised intention to prescribe documents, Thames Hospice and local prescribing policies

Attend monthly Thames Hospice NMP reflective practice forum

Support junior staff in the Hospice at Home team and each other when required

Provide teaching and training to patients/carers and other groups at appropriate levels

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

Provide educational mentorship and facilitation to new team members and students

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

Use advanced clinical skills and judgment to diagnose, plan, implement and evaluate the needs for patients with complex palliative symptoms, anticipating problems and risks and act before crisis arise.

To undertake any other reasonable duties in accordance with job role