The Clinical Nurse Specialist post sits in the Rapid Response Service at St Giles Hospice, which takes unplanned community palliative care referrals. The post holder carries out rapid specialist assessments in patients' homes and puts immediate care plans in place for urgent, unmet needs, acting within two hours where required. The service runs seven days a week from 08:00 to 20:00 and moves to 24-hour cover in phase two, which adds a 20-bed virtual ward. Applicants need an adult nursing registration, and visa sponsorship is not available.
What the job involves
- Carry out rapid specialist palliative care assessments for patients in their own home
- Develop immediate care and support plans for urgent, unaddressed palliative care needs
- Prioritise and triage referrals from 111/999, GPs, allied health professionals, community, hospice, acute and virtual ward teams, patients and families
- Support personalised care planning, treatment plans, ReSPECT and advance care planning
- Support the team with clinical emergencies
- Liaise with GPs, District Nurses and other palliative care and external services to keep patients supported
- Work with virtual ward teams on assessment, shared care planning, escalation and community management
- Process and interpret pathology and other diagnostic results
- Delegate clinical responsibility safely, within the scope of each person's practice
- Provide clinical supervision, teaching and training, including referral process training and the advice line
- Contribute to clinical audit, service development, risk assessment and clinical governance
- Provide cover for colleagues and keep accurate, contemporaneous clinical records
What’s required
Qualifications
- Adult registered nurse or relevant HCP qualification
- Health assessment qualification or working towards one
Registration & licences
Experience
- Specialist palliative and end-of-life care
- Community working and services
- Clinical assessment
- Clinical audit
Skills & knowledge
- Excellent telephone, written and verbal communication
- Communicating sensitively with patients and families in acute distress
- Communicating assessments assertively with GPs and District Nurses
- Safe, evidence-informed triage, recognising clinical risk and escalating concerns
- Knowledge of safeguarding responsibilities and procedures
- Understanding of information governance, consent and accurate record keeping
Checks & eligibility
- Valid driving licence
- Eligibility to work in the UK
Other
- Empathetic, collaborative team player who works under pressure and exhibits the hospice values
Nice to have
- Palliative or end-of-life care qualifications
- Clinical supervision
- Data collection
- Clinical governance
- Teaching skills