Clinical Nurse Specialist Rapid Response Service

St Giles Hospice; Hademore; On-site; GBP 32,000 - 52,000; Full time

Job summary

St Giles Hospice in the United Kingdom is seeking a skilled palliative care professional to support patients and families in the community. You will prioritise and triage complex cases, develop care plans and liaise with local and virtual ward teams to ensure safe, timely, home-based care.

You will work within an interdisciplinary team, maintain high standards of clinical practice and contribute to ongoing training, governance and service improvement across the hospice community.

Responsibilities

• Prioritise and triage patients presenting with palliative, EOL and acute conditions, making referrals when needed.
• Support the team in implementing and evaluating personalised care planning and advanced care planning such as ReSPECT.
• Provide specialist palliative care and support to patients and families at home as required.
• Process and interpret pathology and other diagnostic results as required.
• Assist in dealing with clinical emergencies.
• Liaise with external services, agencies and community teams to ensure ongoing patient support.
• Coordinate with virtual ward teams for timely assessment, shared care planning and safe community management.
• Delegate clinical responsibility within scope of practice and ensure safe care delivery.
• Collaborate with St Giles at Home community teams to support all community patients.
• Engage in general management, supervision, teaching and training.
• Develop clinical skills and palliative care knowledge through caseload management and CPD.
• Build relationships with internal and external colleagues to promote hospice services.
• Participate in clinical supervision and hospice meetings.
• Contribute to training on referral processes and hospice advice lines for staff and referrers.
• Provide cover for colleagues as required.
• Maintain confidentiality of staff, patient and service information per policy.
• Participate in risk assessment and governance activities as appropriate.
• Support shared learning within the system and respond to national policies.
• Review significant and near-miss events using a structured approach.
• Contribute to annual staff performance and development reviews.
• Maintain high-quality work and promote quality throughout the service.
• Uphold hospice policies, equal opportunities and CPD commitments.
• Keep up to date with St Giles Hospice procedures and policies.
• Adhere to professional standards and engage in continuous professional development.
• Uphold an interdisciplinary hospice philosophy and participate fully in this model of care.
• Maintain accurate, timely records in line with governance and data protection.
• Identify and escalate concerns regarding deteriorating patients or unsafe situations per policy.
• Comply with lone working and community safety procedures when engaging with patients outside the hospice.
• Demonstrate emotional resilience and seek support when handling distressing conversations with patients.

Job description

Key responsibilities Prioritise and triage patients presenting with a range of conditions including palliative, EOL and acute conditions, making any necessary referrals in an appropriate manner. Support the team in implementing and evaluating personalised care planning, providing individual specialised treatment plans, ReSPECT and advanced care planning for patients. Support the team in providing specialist palliative care and support to patients and their families in the place they call home, as required and in accordance with evidence-based clinical practice. Process and interpret pathology and other diagnostic results as required. Support the team in dealing with clinical emergencies. Liaise with external services and agencies and the patients usual community teams to ensure the patient continues to be supported appropriately. Liaise with virtual ward teams to support timely assessment, shared care planning, escalation and safe community-based management where appropriate. Delegate
clinical responsibility appropriately, ensuring safe practice and that the task is within the individuals scope of practice. Work closely with the St Giles at Home community teams in supporting the needs of all patients under the community services. General management, supervision, teaching and training Maintain and develop clinical skills and specialist palliative care knowledge through active participation in caseload management, in-house training, relevant external study days, and continuing professional development. In conjunction with the line manager, establish and develop effective relationships with internal and external colleagues, agencies, and organisations to promote the clinical services offered by the hospice. Participate in clinical supervision. Attend meetings within the hospice as required. In conjunction with other clinical departments, participate in the delivery of training programmes regarding referral processes and the advice line for hospice staff, external referrers
and other interested groups. Provide cover for colleagues as required and appropriate. Maintain strict confidentiality in relation to staff, patient, and service information within St Giles Hospice. Participate in risk assessment and contribute to the clinical and corporate governance agenda as appropriate. Support and participate in shared learning within the system. Continually review clinical practices, responding to national policies and initiatives where appropriate. Participate in the review of significant and near-miss events applying a structured approach. Participate in regular annual staff performance and development review. Produce work of a high standard and always promote quality. Uphold St Giles Hospice policies and its commitment to equal opportunities for all current and potential members of staff and patients. Keep up to date on all matters relating to St Giles Hospice procedures and policies. Adhere to the professional standards set by the relevant professional
body, ensuring registration remains current and engaging in continuous professional development. Uphold the Hospice philosophy, which is based on an interdisciplinary approach, and participate fully in this model of care. Maintain accurate, timely and contemporaneous records in line with professional standards, information governance requirements, consent, confidentiality and data protection legislation. Recognise and elevate concerns relating to deteriorating patients, urgent symptom management, medication-related queries, risk, safeguarding, or unsafe situations in accordance with Hospice policies and agreed clinical pathways. Comply with lone working, community working and personal safety procedures where duties require contact with patients, families, carers or professionals outside the Hospice setting. Demonstrate emotional resilience and seek appropriate support, supervision and debriefing when managing distressing, complex or sensitive conversations with patients