Cns

Royal Free London NHS Foundation Trust; Greater London; On-site; GBP 42,000 - 52,000; Full time

Job summary

Royal Free London NHS Foundation Trust is seeking a Band 7 Clinical Nurse Specialist in Palliative Care to join the inpatient team. The CNS will manage complex caseloads, provide expert end-of-life care, and contribute to MDT decisions, education, and service development in a proactive, patient-centered manner.

The role involves delivering a 7-day face-to-face service, participating in audits, and supporting families with advanced care planning within a dynamic palliative care setting.

Responsibilities

• Manage a caseload autonomously and provide expert advice and support to patients with life-limiting illness and potentially facing end of life care issues, and support them and their families, using advanced clinical judgement and knowledge in palliative care.
• Participate in providing a 7-day face-to-face service.
• Contribute to the weekly Hospital Palliative Care MDT meeting.
• Design and deliver specialist palliative care education, as well as end-of-life care to colleagues and other health and social care professionals.
• Take part in regular palliative care team audits and review of clinical practice, to develop research skills and contribute to the development of multi-disciplinary research within palliative care.
• Act as a resource, educator and advocate for patients, their carers and healthcare professionals.
• Be part of the weekend face to face on-call rota and work within a flexible approach that is responsive to patient/client need.
• Ensure symptoms are optimally managed and anticipatory prescribing needs are identified to provide for imminent changes in condition.

Job description

We have an exciting opportunity for a Band 7 CNS to work within our highly skilled, motivated and dynamic team. We aim to make a difference and improve the experience of palliative care patients at various stages of their disease trajectory.

The post will be based within the existing inpatient Palliative Care Team. We offer 7 day face to face support to ensure that people with specialist palliative care needs, will receive the best quality care. The team currently consists of 4 palliative consultants' equivalent to 2.5 WTE, 1 Band 8a Lead Nurse, 4 WTE Band 7 CNS, 1 WTE band 6 Associate CNS, 1 WTE Band 7 Palliative Care Discharge Coordinator.

The Palliative Care Clinical Nurse Specialist (CNS) is a specialist clinician with extensive experience and knowledge of caring for patients with advanced life threatening illness. The CNS contributes to the provision of the palliative care service in the acute setting as part of the MDT, working collaboratively with colleagues, patients, carers, other health and social care professionals, statutory, voluntary and independent organisations to ensure optimum patient management.

As a senior nurse, the CNS will be expected to:

• manage a caseload autonomously and provide expert advice and support to patients with life limiting illness and potentially facing end of life care issues, and support them and their families, using advanced clinical judgement and knowledge in palliative care.


• participate in providing a 7-day face-to-face service.


• contribute to the weekly Hospital Palliative Care MDT meeting.


• design and deliver specialist palliative care education, as well as end of life care to colleagues and other health and social care professionals.


• take part in regular palliative care team audits and review of clinical practice, to develop research skills and contribute to the development of multi-disciplinary research within palliative care.


• act as a resource, educator and advocate for patients, their carers and healthcare professionals.

North Mid is part of North Central London integrated care system - consisting of the NHS and Local authority organisations in Camden, Islington, Barnet, Enfield and Haringey. As with other IC

We are proud of our staff and want to ensure their training allows them to provide excellent clinical care. We are also a training unit for medical students from UCL and St George's University Grenada, and for nursing and midwifery students from Middlesex and City Universities.

Take a tour of our hospitalhere

1. Acts as a resource of clinical excellence in the speciality of palliative care nursing, and ensure that national and local policies are implemented and followed.


2. Assess, plan, implement and evaluate holistic patient care based on sound rationale and evidence-based practice to influence and implement treatment.


3. Work autonomously demonstrating ability to manage clinical caseload ensuring it reflects the core components of the Clinical Nurse Specialist role.


4. Using advanced communication skills, advise and empower other professionals who are directly involved in the delivery of palliative care.


5. Participate in the triage processes and standards of response to new referrals and taking part in the daily allocations.


6. Maintain and be responsible for electronic and written records in line with the organisational guidelines.


7. Offer skilled emotional and psycho-social support and refer on to other members of the multidisciplinary team as appropriate.


8. Participate in the weekend face to face on call rota and work within a flexible approach that is responsive to patient/client need.


9. Ensure symptoms are optimally managed and anticipatory prescribing needs are identified to provide for imminent changes in condition.


10. Offer bereavement support to patient and families, identifying those at risk of complicated bereavement


11. Recognise and take appropriate action in issues related to Mental Capacity Act and Safeguarding


12. Be able to mobilise other services to contribute to patient care; working closely with the multidisciplinary team to enable best care and a shared understanding of the patient's needs


13. Develop and maintain close working relationships with all statutory and/or voluntary agencies


14. Promotes evidence based practice with measurable standards and outcomes through the process of audit and benchmarking


15. Partakes in Clinical Discussion Groups/Clinical supervision as provided


16. Participates actively in the delivery of education on Palliative and End of Life Care across the Group


17. Use the extended role as a non-medical prescriber, where appropriate and once authorised, adhering to the Royal Pharmaceutical Societies and by the NMC standards.To audit prescribing practice and ensure prescribing pads are stored safely.