Clinical Nurse Specialist/Paramedic Specialist Palliative Care

CNWL NHS Foundation Trust; Greater London; On-site; GBP 43,000 - 50,000; Full time

Job summary

A healthcare organization in Greater London is seeking a Band 7 Clinical Nurse Specialist/Clinical Paramedic Specialist in Palliative Care. This role involves working in a multi-disciplinary team to support patients with complex needs, demonstrating resilience and compassion. The successful candidate will manage a caseload autonomously, provide expert clinical advice, and lead in crisis situations. The position is fixed-term to cover maternity leave, offering the opportunity to work within a supportive environment focused on palliative care excellence.

Qualifications

• Registered Nurse with a passion for palliative care.
• Experience managing complex caseloads.
• Ability to work autonomously in community settings.

Responsibilities

• Act as an expert clinician for patients and families.
• Independently manage a caseload of patients.
• Lead responses in crisis situations.

Skills

Compassion

Self-knowledge

Confidence

Generosity

Courage

Expertise in palliative care

Clinical assessment skills

Education

Nursing qualification

Registration with NMC

Job description

A Vacancy at Central and North West London NHS Foundation Trust.

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. We are looking for someone who can appreciate their resilience and motivation to work in this area, and also can demonstrate compassion, self‑knowledge, confidence, generosity, and courage.

Would you enjoy working in our thriving multi‑disciplinary palliative care team where we, day to day work to achieve the best outcomes for the people we support?

Could you imagine yourself working in the heart of London? Are you ambitious to develop your palliative career and would you like to develop in this growing, well‑renowned team with a long tradition of ‘can do’? If yes, then please contact us to find out more.

Working in the community, you will work as an autonomous practitioner, as part of a team managing a caseload of palliative care patients with a variety of conditions, and often complex needs. This role will involve being part of a large team of nurses who provide on call cover for UCLH hospitals.

Here in Central London, the demand for palliative care is increasing at a faster pace than ever before and many more people are dying in their place of choice thanks to the work we do as a multi‑professional team.

In your supporting statement, please clearly demonstrate and state clear interests and reasons of why you would like to work in Palliative Care.

Responsibilities

• Act as an expert clinician for patients and families with complex palliative needs, taking a key worker role where appropriate.
• Independently manage a caseload of patients with complex needs, including receiving and making referrals.
• Assess referrals from various sources, establish priorities, determine needs, and initiate treatment plans, supporting junior clinicians as needed.
• Provide palliative care advice within general multidisciplinary teams, even for patients not currently under palliative care.
• Deliver skilled clinical interventions addressing quality of life, prognosis, and end‑of‑life decision‑making within an ethical framework.
• Serve as an expert advisor on pain and symptom management, and collaborate with professionals to enhance their palliative care skills.
• Independently assess and support bereavement needs of informal carers, making appropriate referrals.
• Work autonomously in diverse community settings, considering local socio‑economic and cultural factors.
• Lead responses in crisis situations, including family conflict, emergencies, and professional distress.
• Use in-depth knowledge of multidisciplinary roles and external agencies to ensure optimal referral and care pathways.

Service Overview

As a service we provide palliative care to the patients of South Camden & Islington and UCLH. The community team is based at St Pancras Hospital, and we work as one team with the UCLH hospital team. The community team has evolved from having one consultant nurse and a medical consultant in the last 25 years to a multi professional team of nearly 30 staff, including, CNSs, Consultant Nurse, Drs, OTs, SW, Physiotherapists and amazing administrative colleagues too.

We provide the space to care; access to a multi‑professional team; we are committed to a happy and cohesive team; value personal and professional development; and aim to facilitate a risk‑confident and supportive culture.

Community Commitment

Camden, and Islington boroughs are the homes to diverse communities, as well as being the setting for many well‑known London landmarks and facilities. These are just a few of the reasons we love working here.

Professional Accountability

1. To be professionally and legally accountable for all work undertaken. To work 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.
2. To undertake specialist clinical assessment of clients with complex palliative care needs through subjective questioning, objective examination, and study of appropriate written material (e.g. clinical records) available.
3. To prioritise factors involved in the patients and informal carers condition through advanced clinical reasoning based on knowledge of current professional opinion, patients prognosis and other physical, psychological, spiritual, ethical, social, and mental health records.
4. To identify patients, their informal carers or children whom may be at risk and vulnerable. Promptly enact the process outlined in the policies for Care of Vulnerable Adults and Care of Vulnerable Children.

This advert closes on Friday 12 Dec 2025.