Palliative Care Clinical Specialist - Home & Crisis Support

NHS Jobs; Romford; Hybrid; GBP 36,000 - 56,000; Full time

Job summary

NHS Jobs is seeking a specialist palliative care clinician to provide expert assessments, symptom management guidance, and crisis response across home, hospice clinics and outreach settings. The role emphasizes compassionate communication, safe prescribing, and multidisciplinary collaboration.

You will work within a framework of confidentiality, governance and continuous improvement, contributing to education, policy development and safeguarding high-quality care for patients and families.

Responsibilities

• Clinical practice and assessment: act as first point of specialist clinical advice for new referrals and re-referrals, completing holistic assessments and providing clear, timely documentation.
• Undertake specialist assessments in people’s homes, hospice clinics and outreach settings; identify risk, complexity and priority.
• Provide expert advice on complex symptom management, palliative care emergencies and safe evaluation of treatment plans.
• Support people, families and carers with information, compassionate communication and timely access to hospice and bereavement support.
• Administer prescribed subcutaneous medication in urgent situations where indicated, authorised and within competence.
• Provide timely palliative care prescriptions in crisis scenarios (if NMP), and liaise with GPs for ongoing repeat prescribing.
• Advice line, crisis response and on-call; triage and clinical decision-making to support rapid access and visits.
• Contribute to the community on-call rota, including out-of-hours, weekend and bank holiday cover.
• Work safely when remote working, lone working or responding urgently; maintain confidentiality and hospice policy.
• Multidisciplinary working and communication; share relevant clinical information to support safe care planning and continuity.
• Contribute specialist palliative care expertise to meetings; use advanced communication for shared decision-making.
• Lead or contribute to audit, clinical governance, incident learning, policy development and pathway improvement.
• Maintain high-quality records; manage workload and prioritise referrals and crisis response.
• Role model compassionate, inclusive and collaborative practice in line with hospice values.
• Education: contribute to palliative and end-of-life care education; mentor colleagues; maintain professional registration and knowledge.
• Participate in appraisal, supervision, reflective practice, learning opportunities and evidence-based service development.

Job description

NHS Jobs is seeking a specialist palliative care clinician to provide expert assessments, symptom management guidance, and crisis response across home, hospice clinics and outreach settings. The role emphasizes compassionate communication, safe prescribing, and multidisciplinary collaboration.

You will work within a framework of confidentiality, governance and continuous improvement, contributing to education, policy development and safeguarding high-quality care for patients and families.