Clinical Nurse Specialist/Paramedic Specialist Palliative Care

Central and North West London NHS Foundation Trust; Greater London; On-site; GBP 56,000 - 64,000; Full time

Job summary

A leading healthcare organization in London is seeking a Clinical Nurse Specialist/Paramedic Specialist for Palliative Care. This vital role in the community demands extensive experience in managing complex patient needs, where you will work autonomously and as part of a multi-disciplinary team. The organization values professional development and provides a supportive environment. Salary ranges from £56,276 to £63,176 pro rata, alongside a commitment to excellent palliative care.

Qualifications

• Extensive post-registration experience in palliative care.
• Experience in case or ward management.
• Demonstrated ability to lead and teach clinical staff.

Responsibilities

• Act as an expert clinician for palliative care patients.
• Independently manage a caseload of complex needs.
• Provide palliative care advice within multidisciplinary teams.

Skills

Contemporary clinical knowledge

Ability to work independently

Effective communication skills

Strong negotiation skills

Problem-solving skills

Education

Registered Nurse (RN) or Registered Paramedic

Recognised teaching qualification

First degree (achieved or in progress)

Job description

Central and North West London NHS Foundation Trust

Clinical Nurse Specialist/Paramedic Specialist Palliative Care (Band 7)

The closing date is 12 December 2025

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 demonstrate resilience, motivation, compassion, self‑knowledge, confidence, generosity, and courage.

Would you enjoy working in our thriving multi‑disciplinary palliative care team where we 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 act 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 why you would like to work in Palliative Care.

Main duties of the job

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.

About us

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.

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.

Job responsibilities

• 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.
• 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.
• 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.
• 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.

Person Specification

Experience

• Extensive post‑registration experience in the relevant specialty.
• Experience in case or ward management.
• Experience teaching clinical staff, patients and families.
• Demonstrated ability to initiate, evaluate, and sustain change management.
• Experience caring for patients in their own homes.

Qualifications

• Registered Nurse (RN) or Registered Paramedic.
• Recognised teaching qualification.
• Achieved or working towards a first degree.

Skills and Knowledge

• Contemporary and relevant clinical knowledge and expertise.
• Ability to work independently and as part of a team.
• Basic computer literacy.
• Strong negotiation skills with clinical professionals, patients, and families.
• Effective workload prioritisation and time management.
• Problem‑solving skills and ability to take initiative.
• Excellent verbal and written communication skills.
• Ability to supervise and develop staff.
• Experience working with integrated care pathways.

Audit and Research

• Experience in audit, standard setting, and quality improvement.
• Ability to incorporate research into practice and motivate others.
• Experience involving service users in planning and delivery.

Professional Requirements

• Evidence of ongoing professional development.
• Maintenance of professional registration.
• Commitment to the development of palliative and end‑of‑life care.
• Understanding of equal opportunities.

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.

Central and North West London NHS Foundation Trust

£56,276 to £63,176 a year pro rata per annum incl. HCAS