Band 7 Clinical Nurse Specialist/Clinical Paramedic Specialist Palliative Care

Central and North West London NHS Foundation Trust; City of Westminster; On-site; GBP 38,000 - 45,000; Full time

Job summary

A leading healthcare provider in London is seeking a Band 7 Clinical Nurse Specialist to join their community palliative care team. The successful candidate will manage a caseload of patients with complex needs, acting independently and providing expert clinical advice. Applicants should have a relevant nursing qualification and clinical experience in palliative care, ideally within a community setting. This opportunity offers a supportive multidisciplinary team environment and development in the field of palliative care.

Benefits

Access to a multidisciplinary team

Support for personal and professional development

Opportunity to work in London

Qualifications

• Previous clinical experience in palliative care, ideally within a community setting.

Responsibilities

• Manage a caseload of palliative care patients with complex needs.
• Act as an expert clinician and key worker for patients and families.
• Provide skilled clinical interventions for quality of life and end-of-life decisions.

Skills

Resilience

Compassion

Confidence

Clinical assessment

Palliative care advice

Education

Relevant nursing qualification

Job description

Overview

We are recruiting a Band 7 Clinical Nurse Specialist/Clinical Paramedic Specialist Palliative Care for our community palliative care team in South Camden and Islington. This is a fixed‑term post to cover maternity leave.

The role is for an autonomous practitioner who will manage a caseload of palliative care patients with complex needs as part of a team providing on‑call cover for UCLH hospitals.

We are looking for someone who demonstrates resilience, motivation, compassion, self‑knowledge, confidence, generosity and courage.

Responsibilities

1. Act as an expert clinician for patients and families with complex palliative needs, taking a key worker role where appropriate.
2. Independently manage a caseload of patients with complex needs, including receiving and making referrals.
3. Assess referrals from various sources, establish priorities, determine needs, and initiate treatment plans, supporting junior clinicians as needed.
4. Provide palliative care advice within general multidisciplinary teams, even for patients not currently under palliative care.
5. Deliver skilled clinical interventions addressing quality of life, prognosis, and end‑of‑life decision‑making within an ethical framework.
6. Serve as an expert advisor on pain and symptom management, and collaborate with professionals to enhance their palliative care skills.
7. Independently assess and support bereavement needs of informal carers, making appropriate referrals.
8. Work autonomously in diverse community settings, considering local socio‑economic and cultural factors.
9. Lead responses in crisis situations, including family conflict, emergencies, and professional distress.
10. Use in‑depth knowledge of multidisciplinary roles and external agencies to ensure optimal referral and care pathways.
11. Be professionally and legally accountable for all work undertaken, working within the Standards for Better Health and guidelines of the Palliative Care Team, CNWL and UCLH NHS Trusts, NMC Code of Conduct/HCPC at all times.
12. Undertake specialist clinical assessment of clients with complex palliative care needs through subjective questioning, objective examination, and study of appropriate written material.
13. Prioritise factors involved in the patient and informal carer condition using advanced clinical reasoning based on current professional opinion.
14. Identify patients, informal carers or children who may be at risk and vulnerable and promptly enact the process outlined in the policies for Care of Vulnerable Adults and Care of Vulnerable Children.

Qualifications

Applicants should hold a relevant nursing qualification and have clinical experience in palliative care, preferably in a community setting.

Benefits

• Work in a thriving multidisciplinary palliative care team.
• Develop your palliative career in a well‑renowned team with a long tradition of “can do”.
• Access to a multi‑professional team and support for personal and professional development.
• Opportunity to work in the heart of London in South Camden & Islington.

Application

In your supporting statement, clearly demonstrate and state your interests and reasons for wanting to work in palliative care.