Advanced Clinical Practitioner

St Giles Hospice; Lichfield; On-site; GBP 40,000 - 50,000; Full time

Job summary

A leading hospice in Lichfield seeks an advanced clinical practitioner to enhance palliative care services. The role involves clinical expertise, leadership, and collaboration with healthcare professionals to ensure quality patient care. Ideal candidates will possess advanced qualifications and a commitment to innovative nursing practices.

Qualifications

• Experience of working in multi-agency/professional settings.
• Evidence of leadership training and managing staff.

Responsibilities

• Provide advanced clinical practice and non-medical prescribing.
• Engage in professional leadership and develop nursing practice.
• Collaborate with clinical teams for patient care pathways.

Skills

Empathetic

Team Player

Leadership

Communication

Time Management

Education

Masters Degree in advanced clinical practice

First level registration with NMC (Degree level)

Non-medical prescribing qualification

Job description

Employer St Giles Hospice Location Lichfield, Staffordshire, United Kingdom Salary Competitive Closing date 14 May 2025

Job summary

Thispost will encompass both strategic service development and operational servicedelivery.

This post will encompass the four pillars of advanced practice, clinical practice, leadership, education and research.

Main duties of the job

Thepost holders own practice will be at an advanced level, ensuring that theirown contribution can both directly and indirectly influence all aspects of careand the management of patients within the hospice and the community setting.

Thepost holder will be a non-medical prescriber, utilising these skills for thebenefit of his/her patient/client group.

Thepost holder will provide a corporate function in advising executive leadershipteam with professional nursing advice on palliative care services andservice-related issues.

The post holder will be able to articulate anddemonstrate a vision of areas of practice that can be developed beyond thecurrent scope of nursing practice and demonstrate a commitment to thedevelopment of these areas both at a strategic level and at the bedside andcommunity setting.

About us

St Giles Hospice is a registered charity founded in 1983 by the Reverend Paul Brothwell, originally to improve the care of local people dying with cancer.

We now support patients, and their loved ones, living with a terminal illness.Our dedicated team provides individually-tailored care, free of charge, either at the hospice or in patients own homes across our communities.

We spend close to £10 million a year providing our specialist services. With just 18% of this funded by the Government, we rely heavily on donations and income generation from the local community.

Job description

Job responsibilities

The role entails but is not limited to: -

Clinical Expert Practice Function

To be both professionally and legally accountable for all work undertaken and to practice at an advanced level of professional autonomy and accountability that is within the NMC codes of conduct, hospice policies/protocols.

To utilise advanced clinical reasoning skills and evidence-based knowledge in the management of patients with highly complex presentations/ symptom management and to be clinically competent to utilise expert skills and knowledge in a variety of clinical settings.

To make independent clinical decisions and initiate investigations, care, treatment and technological intervention within an agreed framework.

Undertake non-medical prescribing in accordance with hospice policy.

To develop and implement nurse led clinics applicable to the post and specialty.

Develop and conduct skilled nursing intervention for all palliative care patients assessing their symptoms control needs at an advanced level and addressing issues (psychological and coping mechanisms, social/spiritual/practical/ethical needs and quality of life) within the agreed framework. Ensuring working in partnership with a range of health care professionals as required.

To maintain up to date clinical records in accordance with hospice policy and NMC code Of Conduct.

To monitor, evaluate and review nursing practice and to modify approaches to clinical care as required. Keeping the Deputy Director of Clinical Services updated as appropriate.

To participate in the development of clinical expertise in palliative care nursing enabling nurses to develop advanced assessment and decision-making skills (including both the inpatient and community CNS Team).

To work in close collaboration with the palliative care consultants/nurse consultants across the West Midlands palliative care network.

To work in collaboration with clinical teams/general management, in order to ensure there are defined pathways of care for palliative care patients, facilitating a timely transfer between settings/discharge of patients with appropriate follow up services within the community encouraging continuity of care.

Line management responsibilities appropriate to the role.

The Professional Leadership

The post holder will:

Engage with appropriate agencies as a nurse leader in the development of innovative nursing practice and initiatives.

Develop this role in order to strengthen nurse leadership within the organisation.

Act in a consultancy role in promoting the development of advanced nursing practice in collaboration with the Deputy Director of Clinical Services.

To act as a specialist resource for health care professionals and to provide advice and share information both internally and externally to the organisation.

In partnership with the Director of Clinical Services, contribute to the Clinical Governance agenda within the nursing division, with the aim of securing quality improvements within the inpatient units and the community settings, organisation and local health economy- wide basis.

To work collaboratively with the Director of Clinical Services and Executive Leadership Team both within as well as outside the organization to influence the strategic allocation of resources.

To be able to articulate the significance and potential impact of government policies as they relate to practice and future developments. To actively seek opportunities to influence local and national policy development through clear and precise articulation of patient and service requirements/needs.

To demonstrate confident, competence in direct patient care in terms of working as a peer with other consultant colleagues, seeking further expert clinical advice/ assessment as appropriate.

Act as a role model and advisor for nurses within the organisation and the wider arena as appropriate.

Review policies/SOPs as and when needed

Facilitate discussion of contentious issues where there is disagreement about best treatment and care or where best treatment and care is ethically problematic, unknown or unique.

Instigate and manage specialist interventions used in acute/crisis clinical situations with a nurse led specialist clinical focus:

- Promoting health through accurate, individualized and timely information.

- Preventing and recognizing life-threatening complications through rapid assessment and physical examination.

- Maintaining health and supporting life, through the instigation and management of complex and specialty directed interventions.

The Education Training and Development Function

To actively support the training and educational lead on the formulation of plans to meet the training and education needs of staff, at an individual, team and an organizational level.

To facilitate new programs of education and training in partnership with the training and educational lead to facilitate changes within practice as and when required.

To provide learning opportunities for nurses and other health care professionals via clinical supervision and mentorship. This includes providing inter-professional support for all appropriate disciplines of staff.

To contribute to the development of the local undergraduate and postgraduate training programs in order to facilitate the advancement of a structured, evidence-based career progression within the palliative care speciality.

To disseminate innovations in practice, research and education both nationally and internationally through publication and conference presentations.

To assist Nurse Leaders within the organisation (e.g. Deputy Director of Clinical Services) to develop a culture of empowerment for staff to become accountable for their practice through professional education.

To take a leading role in the development of nursing research within palliative care as well as inform and contribute to the organisations Research and Development Strategy. This includes taking a leading role in the development and preparation of research proposals relevant to palliative care services to attract internal or external grants if appropriate and / or offering support or guidance to students or research teams undertaking projects / studies within this specialty.

In partnership with the Director of Clinical Services, develop benchmarking initiatives relating to palliative care services.

Service Development

Together with Director of Clinical Services and Executive Leadership Team to participate in the implementation of palliative care strategies across the organisation incorporating national standards into local practice.

To work in partnership with Nursing Leaders to create, develop and implement guidelines and protocols of care relevant to palliative care services patients and ensure appropriate education programs are created in order to achieve the patient / staff requirements.

In partnership with the Director of Clinical Services provide expert input for the specialty to the organisations quality agenda / strategy ensuring that patient needs are expressed in a whole systems approach rather that a uni-professional view.

To develop innovations between the hospice and other agencies to ensure equity and access to the services as per organisations service agreements.

To ensure that the hospice KPIs involving the specialty services are met. Interpreting clinical policy change as it relates to hospice services and keeping the management as well as the clinical team informed.

To respond to palliative care inpatient and community service user feedback by ongoing evaluation and identification of emerging trends, being a key member of any initiative bringing about service change / development / redesign.

To take a strategic view of the delivery of care within the specialty and how other specialties can combine to improve patient experience and outcome.

Communication

To be able to motivate and persuade others through advanced communication skills.

To provide clinical supervision to other staff as appropriate.

To make all reasonable efforts to resolve verbal complaints as they occur and ensure in-depth knowledge of the hospices formal complaints procedure can be demonstrated as and when required.

To be able to diffuse potentially hostile and antagonistic situations with staff, patients, carers and relatives, using highly developed interpersonal and negotiation skills.

To be able to demonstrate an expert ability to communicate highly sensitive / complex information to patients, relatives, carers and other staff, where there may be barriers to communication (e.g. hostility, language or learning difficulties). This must be done ensuring confidentiality at all times and sensitivity to the recipient/s level of understanding and/or knowledge.

Advanced written and electronic communication skills are also required.

Just so you know:

We may review applications before the application review date, however, if you apply after the application review date, your application may not be considered. We will accept applications until we have successfully filled the role, this may be earlier than the closing date.

If you have not heard within 14 days of the application close date, then please consider that your application has been unsuccessful at this time.

As part of your application your data will be managed in line with St Giles Hospice Privacy Policy and kept for 6 months. If you would like to see this in full, please visit https://www.stgileshospice.com/privacy-policy/

Job description
Job responsibilities

The role entails but is not limited to: -

Clinical Expert Practice Function

To be both professionally and legally accountable for all work undertaken and to practice at an advanced level of professional autonomy and accountability that is within the NMC codes of conduct, hospice policies/protocols.

To utilise advanced clinical reasoning skills and evidence-based knowledge in the management of patients with highly complex presentations/ symptom management and to be clinically competent to utilise expert skills and knowledge in a variety of clinical settings.

To make independent clinical decisions and initiate investigations, care, treatment and technological intervention within an agreed framework.

Undertake non-medical prescribing in accordance with hospice policy.

To develop and implement nurse led clinics applicable to the post and specialty.

Develop and conduct skilled nursing intervention for all palliative care patients assessing their symptoms control needs at an advanced level and addressing issues (psychological and coping mechanisms, social/spiritual/practical/ethical needs and quality of life) within the agreed framework. Ensuring working in partnership with a range of health care professionals as required.

To maintain up to date clinical records in accordance with hospice policy and NMC code Of Conduct.

To monitor, evaluate and review nursing practice and to modify approaches to clinical care as required. Keeping the Deputy Director of Clinical Services updated as appropriate.

To participate in the development of clinical expertise in palliative care nursing enabling nurses to develop advanced assessment and decision-making skills (including both the inpatient and community CNS Team).

To work in close collaboration with the palliative care consultants/nurse consultants across the West Midlands palliative care network.

To work in collaboration with clinical teams/general management, in order to ensure there are defined pathways of care for palliative care patients, facilitating a timely transfer between settings/discharge of patients with appropriate follow up services within the community encouraging continuity of care.

Line management responsibilities appropriate to the role.

The Professional Leadership

The post holder will:

Engage with appropriate agencies as a nurse leader in the development of innovative nursing practice and initiatives.

Develop this role in order to strengthen nurse leadership within the organisation.

Act in a consultancy role in promoting the development of advanced nursing practice in collaboration with the Deputy Director of Clinical Services.

To act as a specialist resource for health care professionals and to provide advice and share information both internally and externally to the organisation.

In partnership with the Director of Clinical Services, contribute to the Clinical Governance agenda within the nursing division, with the aim of securing quality improvements within the inpatient units and the community settings, organisation and local health economy- wide basis.

To work collaboratively with the Director of Clinical Services and Executive Leadership Team both within as well as outside the organization to influence the strategic allocation of resources.

To be able to articulate the significance and potential impact of government policies as they relate to practice and future developments. To actively seek opportunities to influence local and national policy development through clear and precise articulation of patient and service requirements/needs.

To demonstrate confident, competence in direct patient care in terms of working as a peer with other consultant colleagues, seeking further expert clinical advice/ assessment as appropriate.

Act as a role model and advisor for nurses within the organisation and the wider arena as appropriate.

Review policies/SOPs as and when needed

Facilitate discussion of contentious issues where there is disagreement about best treatment and care or where best treatment and care is ethically problematic, unknown or unique.

Instigate and manage specialist interventions used in acute/crisis clinical situations with a nurse led specialist clinical focus:

- Promoting health through accurate, individualized and timely information.

- Preventing and recognizing life-threatening complications through rapid assessment and physical examination.

- Maintaining health and supporting life, through the instigation and management of complex and specialty directed interventions.

The Education Training and Development Function

To actively support the training and educational lead on the formulation of plans to meet the training and education needs of staff, at an individual, team and an organizational level.

To facilitate new programs of education and training in partnership with the training and educational lead to facilitate changes within practice as and when required.

To provide learning opportunities for nurses and other health care professionals via clinical supervision and mentorship. This includes providing inter-professional support for all appropriate disciplines of staff.

To contribute to the development of the local undergraduate and postgraduate training programs in order to facilitate the advancement of a structured, evidence-based career progression within the palliative care speciality.

To disseminate innovations in practice, research and education both nationally and internationally through publication and conference presentations.

To assist Nurse Leaders within the organisation (e.g. Deputy Director of Clinical Services) to develop a culture of empowerment for staff to become accountable for their practice through professional education.

To take a leading role in the development of nursing research within palliative care as well as inform and contribute to the organisations Research and Development Strategy. This includes taking a leading role in the development and preparation of research proposals relevant to palliative care services to attract internal or external grants if appropriate and / or offering support or guidance to students or research teams undertaking projects / studies within this specialty.

In partnership with the Director of Clinical Services, develop benchmarking initiatives relating to palliative care services.

Service Development

Together with Director of Clinical Services and Executive Leadership Team to participate in the implementation of palliative care strategies across the organisation incorporating national standards into local practice.

To work in partnership with Nursing Leaders to create, develop and implement guidelines and protocols of care relevant to palliative care services patients and ensure appropriate education programs are created in order to achieve the patient / staff requirements.

In partnership with the Director of Clinical Services provide expert input for the specialty to the organisations quality agenda / strategy ensuring that patient needs are expressed in a whole systems approach rather that a uni-professional view.

To develop innovations between the hospice and other agencies to ensure equity and access to the services as per organisations service agreements.

To ensure that the hospice KPIs involving the specialty services are met. Interpreting clinical policy change as it relates to hospice services and keeping the management as well as the clinical team informed.

To respond to palliative care inpatient and community service user feedback by ongoing evaluation and identification of emerging trends, being a key member of any initiative bringing about service change / development / redesign.

To take a strategic view of the delivery of care within the specialty and how other specialties can combine to improve patient experience and outcome.

Communication

To be able to motivate and persuade others through advanced communication skills.

To provide clinical supervision to other staff as appropriate.

To make all reasonable efforts to resolve verbal complaints as they occur and ensure in-depth knowledge of the hospices formal complaints procedure can be demonstrated as and when required.

To be able to diffuse potentially hostile and antagonistic situations with staff, patients, carers and relatives, using highly developed interpersonal and negotiation skills.

To be able to demonstrate an expert ability to communicate highly sensitive / complex information to patients, relatives, carers and other staff, where there may be barriers to communication (e.g. hostility, language or learning difficulties). This must be done ensuring confidentiality at all times and sensitivity to the recipient/s level of understanding and/or knowledge.

Advanced written and electronic communication skills are also required.

Just so you know:

We may review applications before the application review date, however, if you apply after the application review date, your application may not be considered. We will accept applications until we have successfully filled the role, this may be earlier than the closing date.

If you have not heard within 14 days of the application close date, then please consider that your application has been unsuccessful at this time.

As part of your application your data will be managed in line with St Giles Hospice Privacy Policy and kept for 6 months. If you would like to see this in full, please visit https://www.stgileshospice.com/privacy-policy/

Person Specification

Personal Attributes

Essential

• Empathetic
• Team Player
• Able to work under pressure
• Collaborative
• Ambassador for St Giles Hospice

Experience

Essential

• Evidence of continuing professional development
• Experience of working in multi-agency/professional working
• A successful track record of change management and practice development
• To have inspired recognition as an expert and innovator in the field
• Evidence of leadership training
• Experience of managing staff and difficult and sensitive people issues
• Teaching experience
• Published papers and presentations
• Experience of research, study, design and implementation
• Proven experience and work within deadlines
• Evidence of participation in clinical audit
• Commitment to continuing improvement of service delivery and care
• Team Working:-
• Working across professional boundaries and organisations.
• Working with academic institutions
• Clinical Governance:-
• In-depth knowledge of research methodologies and application of theory to practice
• Initiating and facilitating change and service redesign
• Familiar with concepts of clinical supervision and learning sets
• Experience of eliciting feedback from patients and carers and of incorporating this in the planning, delivery and evaluation of services

Qualifications

Essential

• First level registration with NMC (Degree level)
• Advanced communication course
• Masters Degree in advanced clinical practice
• Non-medical prescribing qualification

Desirable

• Recognised palliative care nursing qualification
• Teaching qualification

Skills

Essential

• Proven leadership skills at a senior level
• Ability to write for publications
• Ability to think strategically
• Developed political awareness
• Developed patient care skills
• Time management skills
• Professional role model as an advanced practitioner within the specialty of palliative care
• Ability to write clear, concise and relevant reports, communicate orally, and in writing with clarity and precision
• Computer literate
• Excellent communication & interpersonal skills

Other Requirements

Essential

• Valid driving licence
• Eligibility to work in the UK
• Please note that St Giles Hospice does not hold a sponsorship licence and is therefore unable to accept sponsorship requests

Other Requirements

Essential

• Valid driving licence
• Eligibility to work in the UK
• Please note that St Giles Hospice does not hold a sponsorship licence and is therefore unable to accept sponsorship requests

Person Specification
Personal Attributes

Essential

• Empathetic
• Team Player
• Able to work under pressure
• Collaborative
• Ambassador for St Giles Hospice

Experience

Essential

• Evidence of continuing professional development
• Experience of working in multi-agency/professional working
• A successful track record of change management and practice development
• To have inspired recognition as an expert and innovator in the field
• Evidence of leadership training
• Experience of managing staff and difficult and sensitive people issues
• Teaching experience
• Published papers and presentations
• Experience of research, study, design and implementation
• Proven experience and work within deadlines
• Evidence of participation in clinical audit
• Commitment to continuing improvement of service delivery and care
• Team Working:-
• Working across professional boundaries and organisations.
• Working with academic institutions
• Clinical Governance:-
• In-depth knowledge of research methodologies and application of theory to practice
• Initiating and facilitating change and service redesign
• Familiar with concepts of clinical supervision and learning sets
• Experience of eliciting feedback from patients and carers and of incorporating this in the planning, delivery and evaluation of services

Qualifications

Essential

• First level registration with NMC (Degree level)
• Advanced communication course
• Masters Degree in advanced clinical practice
• Non-medical prescribing qualification

Desirable

• Recognised palliative care nursing qualification
• Teaching qualification

Skills

Essential

• Proven leadership skills at a senior level
• Ability to write for publications
• Ability to think strategically
• Developed political awareness
• Developed patient care skills
• Time management skills
• Professional role model as an advanced practitioner within the specialty of palliative care
• Ability to write clear, concise and relevant reports, communicate orally, and in writing with clarity and precision
• Computer literate
• Excellent communication & interpersonal skills

Other Requirements

Essential

• Valid driving licence
• Eligibility to work in the UK
• Please note that St Giles Hospice does not hold a sponsorship licence and is therefore unable to accept sponsorship requests

Other Requirements

Essential

• Valid driving licence
• Eligibility to work in the UK
• Please note that St Giles Hospice does not hold a sponsorship licence and is therefore unable to accept sponsorship requests

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

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

Employer details

Employer name

St Giles Hospice
Address

Fisherwick Road

Whittington

Lichfield

Staffordshire

WS14 9LH

Employer's website