Clinical Nurse Specialist in Palliative and End of Life Care

Barts Health NHS Trust

Information:

This job is now closed

Job summary

We are pleased to offer an exciting opportunity to join our Palliative Care Specialist Team in one of the country's largest acute NHS Trusts.

The post will be based within the existing Specialist Palliative Care Team offering ongoing support, working alongside staff to ensure that people with specialist palliative care needs are in receipt of the care they require to achieve the best quality of life possible. The post will be based at Newham Hospital.

This post holder will be highly skilled with relevant extensive palliative care experience to support the delivery of clinically effective, efficient, and high-quality care to people with complex specialist palliative care needs, ensuring that this care is both evidence based and reflects current best practice.

Using Specialist Palliative skills and knowledge you will manage a caseload of patients and their families/carers with complex needs associated with living with a life challenging illness.

This post will contribute to a networked service in order to facilitate access to assessment, advance care planning and treatment for a specific cohort of patients and their families with complex palliative care needs, working in partnership with generic ward staff and specialist community teams for those that are being rapidly discharged home for terminal care.

Main duties of the job

The post holder will manage the provision of specialist palliative care advice and support to people affected by life limiting illnesses, and to patients who are at the end of their lives.

This will be achieved both directly through clinical practice and caseload management, and indirectly through leadership, education, research, audit, and professional activities.

The aim of the post is to maximise the quality of life of patients with advanced life limiting disease/ those at the end of their lives, and to also provide support and advice to the families/carers of such patients

About us

Barts Health is one of the largest NHS trusts in the country, and one of Britain's leading healthcare providers.

The Barts Health group of NHS hospitals is entering an exciting new era on our improvement journey to becoming an outstanding organisation with a world-class clinical reputation. Having lifted ourselves out of special measures, we now have the impetus and breathing space to chart a fresh course in which we are continually striving to improve all our services for patients.

Our vision is to be a high-performing group of NHS hospitals, renowned for excellence and innovation, and providing safe and compassionate care to our patients in east London and beyond. That means being a provider of excellent patient safety, known for delivering consistently high standards of harm-free care and always caring for patients in the right place at the right time. It also means being an outstanding place to work, in which ourWeCarevalues and behaviours are visible to all and guide us in how we work together.

We strive to live by ourWeCarevalues and are committed to promoting inclusion, where every staff member has a sense of belonging. We value our differences and fully advocate, cultivate and support an inclusive working environment.

Date posted

15 November 2022

Pay scheme

Agenda for change

Band

Band 7

Salary

£49,036 to £55,049 a year per annum inc

Contract

Permanent

Working pattern

Full-time

Reference number

259-4780848SBH

Job locations

St Bartholomew’s Hospital

West Smithfield

London

EC1A 7BE


Job description

Job responsibilities

  • To excel and innovate in the management of clinical caseload and MDT processes both specialist and generalist palliative / end of life care
  • Using advanced verbal and non-verbal communication skills, advise and empower other professionals who are directly involved in the delivery of palliative care
  • Work autonomously, demonstrating innovation and resourcefulness.
  • Acts as a resource of clinical excellence in the speciality of palliative care nursing, and ensure that national and local clinical policies are implemented and adhered to
  • Assess, plan, implement and evaluate holistic patient care based on sound

rationale and evidence-based practice to influence and implement treatment.

  • Manage triage processes and standards of response.
  • Maintain and be responsible for electronic and written records in line with the organisation.
  • Act as a patient advocate and influential agent of change.
  • Be able to mobilise other services to contribute to patient care; working closely with the multidisciplinary team to enable best care and a shared understanding of the patients needs.
  • Assess, identify, and explore complex emotional issues which patients and families face as a result of diagnosis of a life limiting disease.
  • Offer skilled emotional and psychosocial support and refer on to other members of the multidisciplinary team as appropriate.
  • Be an educative resource for patient and families/carers.
  • Offer bereavement support to patient and families, identifying those at risk of complicated bereavement.
  • Contribute to meetings to enhance patient care.
  • Participate in the weekend face to face on call rota (this may involve covering 2 hospital sites)

Job description

Job responsibilities

  • To excel and innovate in the management of clinical caseload and MDT processes both specialist and generalist palliative / end of life care
  • Using advanced verbal and non-verbal communication skills, advise and empower other professionals who are directly involved in the delivery of palliative care
  • Work autonomously, demonstrating innovation and resourcefulness.
  • Acts as a resource of clinical excellence in the speciality of palliative care nursing, and ensure that national and local clinical policies are implemented and adhered to
  • Assess, plan, implement and evaluate holistic patient care based on sound

rationale and evidence-based practice to influence and implement treatment.

  • Manage triage processes and standards of response.
  • Maintain and be responsible for electronic and written records in line with the organisation.
  • Act as a patient advocate and influential agent of change.
  • Be able to mobilise other services to contribute to patient care; working closely with the multidisciplinary team to enable best care and a shared understanding of the patients needs.
  • Assess, identify, and explore complex emotional issues which patients and families face as a result of diagnosis of a life limiting disease.
  • Offer skilled emotional and psychosocial support and refer on to other members of the multidisciplinary team as appropriate.
  • Be an educative resource for patient and families/carers.
  • Offer bereavement support to patient and families, identifying those at risk of complicated bereavement.
  • Contribute to meetings to enhance patient care.
  • Participate in the weekend face to face on call rota (this may involve covering 2 hospital sites)

Person Specification

Education & professional Qualifications

Essential

  • Appropriate NMC registration (Adult Nursing)
  • Degree level study Masters degree or willingness to work towards this Palliative care qualification
  • Mentorship/ Teaching qualification
  • Advanced Communication Skills course or similar

Experience

Essential

  • Extensive experience within Palliative/ end of life care/long term conditions.
  • Minimum of 3 years' experience of working at B6 level.
  • Experience of managing a clinical caseload.
  • Experience of delivering educational sessions and developing training programmes.
  • Willingness to participate in 7 day working/ on call rota
  • Experience of managing challenging situations and ethical dilemmas.
  • Knowledge and experience of research
  • Knowledge of local/national Health and Social Care Policy

Skills and Aptitudes

Essential

  • Advanced written and verbal skills.
  • Sound organizational skills, including ability to give direction.
  • Excellent knowledge of the principles and practice of specialist and supportive palliative care.
  • Act as a role model.
  • Able to analyse and discuss factors that impact upon interdisciplinary working.
  • Experience of initiating and managing change.
  • Previous participation in quality initiatives or audit.
  • Computer skills.
  • Able to work well within a team and also independently.
  • Flexible in approach in order to meet the demands of the service.

Knowledge and awareness

Essential

  • Demonstrated research-based knowledge of pain and symptom management.
  • Able to critically reflect on prescribed interventions.
  • Recognizes professional and corporate responsibility within their role.
  • Knowledge of current professional issues in nursing and palliative care.
  • Aware of drivers for change in the NHS, cancer and palliative care services.

Self-management

Essential

  • Ability to priorities workload, balancing clinical and non clinical activities
  • Reflective practitioner
  • Able to identify own learning and support needs
Person Specification

Education & professional Qualifications

Essential

  • Appropriate NMC registration (Adult Nursing)
  • Degree level study Masters degree or willingness to work towards this Palliative care qualification
  • Mentorship/ Teaching qualification
  • Advanced Communication Skills course or similar

Experience

Essential

  • Extensive experience within Palliative/ end of life care/long term conditions.
  • Minimum of 3 years' experience of working at B6 level.
  • Experience of managing a clinical caseload.
  • Experience of delivering educational sessions and developing training programmes.
  • Willingness to participate in 7 day working/ on call rota
  • Experience of managing challenging situations and ethical dilemmas.
  • Knowledge and experience of research
  • Knowledge of local/national Health and Social Care Policy

Skills and Aptitudes

Essential

  • Advanced written and verbal skills.
  • Sound organizational skills, including ability to give direction.
  • Excellent knowledge of the principles and practice of specialist and supportive palliative care.
  • Act as a role model.
  • Able to analyse and discuss factors that impact upon interdisciplinary working.
  • Experience of initiating and managing change.
  • Previous participation in quality initiatives or audit.
  • Computer skills.
  • Able to work well within a team and also independently.
  • Flexible in approach in order to meet the demands of the service.

Knowledge and awareness

Essential

  • Demonstrated research-based knowledge of pain and symptom management.
  • Able to critically reflect on prescribed interventions.
  • Recognizes professional and corporate responsibility within their role.
  • Knowledge of current professional issues in nursing and palliative care.
  • Aware of drivers for change in the NHS, cancer and palliative care services.

Self-management

Essential

  • Ability to priorities workload, balancing clinical and non clinical activities
  • Reflective practitioner
  • Able to identify own learning and support needs

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.

Certificate of Sponsorship

Applications from job seekers who require current Skilled worker sponsorship to work in the UK are welcome and will be considered alongside all other applications. For further information visit the UK Visas and Immigration website (Opens in a new tab).

From 6 April 2017, skilled worker applicants, applying for entry clearance into the UK, have had to present a criminal record certificate from each country they have resided continuously or cumulatively for 12 months or more in the past 10 years. Adult dependants (over 18 years old) are also subject to this requirement. Guidance can be found here Criminal records checks for overseas applicants (Opens in a new tab).

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.

Certificate of Sponsorship

Applications from job seekers who require current Skilled worker sponsorship to work in the UK are welcome and will be considered alongside all other applications. For further information visit the UK Visas and Immigration website (Opens in a new tab).

From 6 April 2017, skilled worker applicants, applying for entry clearance into the UK, have had to present a criminal record certificate from each country they have resided continuously or cumulatively for 12 months or more in the past 10 years. Adult dependants (over 18 years old) are also subject to this requirement. Guidance can be found here Criminal records checks for overseas applicants (Opens in a new tab).

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

Barts Health NHS Trust

Address

St Bartholomew’s Hospital

West Smithfield

London

EC1A 7BE


Employer's website

https://www.bartshealth.nhs.uk (Opens in a new tab)


Employer details

Employer name

Barts Health NHS Trust

Address

St Bartholomew’s Hospital

West Smithfield

London

EC1A 7BE


Employer's website

https://www.bartshealth.nhs.uk (Opens in a new tab)


For questions about the job, contact:

Team Lead for Palliative and End of life care

Olajumoke Isaiah

olajumoke.isaiah1@nhs.net

Date posted

15 November 2022

Pay scheme

Agenda for change

Band

Band 7

Salary

£49,036 to £55,049 a year per annum inc

Contract

Permanent

Working pattern

Full-time

Reference number

259-4780848SBH

Job locations

St Bartholomew’s Hospital

West Smithfield

London

EC1A 7BE


Supporting documents

Privacy notice

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