Care jobs in United Kingdom

Are you a compassionate, motivated Nursing Associate with a passion for delivering high-quality palliative and end-of-life care? Join our supportive and dedicated team on our IPU (Inpatient Unit), where we provide exceptional, patient-centred care to individuals and their families during some of lifes most challenging moments.

• Deliver high quality, compassionate care under the direction of the Registered Nursing team, working as part of a multidisciplinary team to support patients with palliative and respite care needs.
• This role is for 37.5 hours per week; part-time hours may be considered.

St Michael's Hospice is nestled in the Herefordshire countryside, in a state-of-the-art facility. We offer a competitive salary and benefits package, a transferrable NHS pension or you can enrol onto our own Hospice pension. We provide life assurance, study leave allowance, discounts with local suppliers, individualised training needs analysis, advanced communication skills training, employee counselling service, free tea & coffee, a friendly and welcoming work environment, 30 days annual leave plus bank holidays. We are one of the top 100 best not-for-profit organisations to work for and have been caring for patients with terminal illness and their families across Herefordshire and beyond for 40 years.

• Job Title: Registered Nursing Associate (RNDA)
• Spinal Point Range: 10, 11, 12
• Hours: 37.5 hours per week
• Department: In-patient Unit
• Location: St Michaels Hospice, Bartestree
• Reports to: Senior Nursing Team

Job Purpose: To monitor, contribute and inform high-quality palliative and end-of-life care to patients and families.

Responsibility Areas: It is expected the Nursing Associates will be able to carry out all core competencies outlined in the job description; duties and competencies may vary depending on area of work and extended competencies.

• Deliver high quality, compassionate care under the direction of a Registered Nurse with a focus on promoting patient health and independence.
• Work as part of a designated clinical care team delivering care that focuses on the direct needs of the patient throughout their lifespan.
• Clinical responsibilities – Individuals care: Abide by the principles of the NMC code of conduct and work within clearly defined accountability frameworks, recognising boundaries of the Nursing Associate role.
• Develop understanding of all elements of the nursing process through guided participation in assessment, planning, management and evaluation of care with increasing knowledge and competence.
• Support individuals with all aspects of care including personal care, promoting wellbeing, activities of daily living and person-centred care.
• Work with the multidisciplinary team to raise awareness and navigate care to other professionals as appropriate.
• Measure, monitor and record observations (e.g., TPR, BP, oxygen saturation, peak flow, ECG, urine tests, blood glucose, fluids).
• As prescribed, administer medications in a safe and timely manner in line with medicines management policies and training.
• Ensure privacy, dignity and safety of individuals at all times.
• Recognise changing priorities and seek advice from the Registered Nurse or other registered care professionals as appropriate.
• Report back to and share information with the Registered Nurses on the condition, behaviour, activity and responses of individuals.
• Contribute to the implementation of actions to meet physical, emotional, psychological, social, cultural and spiritual needs of individuals and carers.
• Contribute to the delivery of complex care as prescribed by the Registered Nurse and to the monitoring of clinical standards and outcomes.
• Demonstrate understanding of consent and ensure valid consent is obtained prior to procedures; understand the Mental Capacity Act / Deprivation of Liberty safeguards and seek guidance as required.
• Care Provision: contribute to holistic assessment, planning, implementation and evaluation of patient needs on each shift.
• Deliver general nursing care interventions responsive to individual patient requirements; report concerns or changes to the patient’s condition or family wellbeing to wider community teams as appropriate.
• Contribute to patient-centred assessment and care planning, utilise outcome measures (OACC) and modify care plans as required.
• Identify pre- and post-bereavement needs and refer to supportive care teams as needed.
• Support Senior HCAs during joint visits and act as a link nurse in selected specialisms (e.g., diabetes).
• Follow hospice and NHS clinical procedures aligned with NMC regulations for medicine management; follow policies for manual handling, infection control, health and safety, ensuring a safe environment.
• Planning: manage and prioritise own workload; undertake risk assessments and document them; escalate to senior colleagues as appropriate.
• Contribute to timely patient discharge planning from admission.
• Communication: liaise with relatives and carers regarding patient status; provide accurate written and verbal reports during handovers; encourage patients and families to express needs to inform care planning; promote collaborative and effective multidisciplinary team communication; ensure the nursing voice is represented in ethical decision making; respond to complaints per hospice policy.
• Promote safeguarding awareness for both children and adults and report concerns to appropriate professionals.
• Professional Leadership: act as a role model, support volunteers, develop coaching/teaching skills, and participate in formal and informal supervision and mentorship; assist in supervision and training of HCAs, student nurses and trainee nursing associates; deliver training sessions as required.
• Quality, Improvement, Audit and Research: contribute to audits and evaluations of palliative/end-of-life care; participate in reflective reviews; ensure clinical incidents/near misses are recorded and actioned to minimise risk.
• Health and Safety: maintain safe environments, ensure equipment is in good working order, manage waste and hazardous substances per COSHH; ensure infection control practices are followed.
• Education: maintain clinical competence through ongoing development, mandatory training, peer supervision, reflective practice and clinical supervision; maintain a professional portfolio and reflective diary.

• Experience and broad knowledge of general nursing care
• Knowledge of national and local health initiatives

• Nursing Associate registered with NMC
• Must be in possession of a full UK driving licence, be over 21 and have held a full licence for 12 months

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.