Hospice Community Clinical Nurse Specialist
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Are you an enthusiastic Registered Nurse who wants to give the best possible care? Have you thought about a career in Specialist Palliative Care at St Elizabeth Hospice?
St Elizabeth Hospice is an independent charity and hospice, which improves life for people in the East Suffolk, Great Yarmouth and Waveney areas living with a progressive or life-limiting illness. Our most recent Care Quality Commission report rated the hospice as Outstanding.
Established in 1989, the hospice has built a reputation for delivering high-level care to patients and the community it serves. Through medicine and therapy, they ease pain; give life purpose and make life liveable. Last year the charity supported over 4,000 patients and their families.
The hospices work is centred on the individual's needs and they provide specialist support wherever it is needed; whether that is in the home, another setting in the community, in hospital or in the hospice itself. Support is provided to patients and their families via the In-Patient Unit, the Community Care Unit including outpatients clinics, home visits from the Community Nursing, Medical and Therapy Teams, the OneCall 24/7 telephone helpline and bereavement support.
If you would like an opportunity to find out more about working at the hospice and how it can fit your own career aspirations, we recommend an informal visit/discussion prior to you completing your application.
Job description
JOB SUMMARY
To work at an enhanced level of practice to manage community patients in complex, challenging and changing situations and environments, seeking further guidance when the boundary of competence is reached.
Will possess skills and capabilities across all four pillars of nursing: clinical practice, education, research and leadership. Required to function to a high level of autonomy within specialist palliative care.
SAFEGUARDING RESPONSIBILITIES
Demonstrate a commitment to keeping adults and young people safe
Report any disclosure made to you to the appropriate person
Report any safeguarding concerns in the workplace to the appropriate person
Maintain an awareness of the Hospices policies in relation to safeguarding
KEY ACCOUNTABILITIES
To undertake in-depth holistic assessments of patients with palliative care needs, regardless of their diagnosis and plan care to meet patient outcomes. This includes the triaging of referrals ensuring all triages are completed in line with the agreed standard operating procedure.
To provide information, advice, psychological and spiritual care to patients, their families and carers, liaising and referring on as necessary to appropriate healthcare professionals in the Hospice, Hospital and community.
Responsible for and manage a caseload of patients offering continuity of care.
Work in a collaborative, compassionate way, promoting equality, respecting diversity, and ensuring inclusivity, taking responsibility for challenging behaviour that does not align with these values.
Apply clinical reasoning to individual presentations and complex situations, utilising information from different sources to make timely, appropriate, and evidence-based judgements.
Where qualified, carry out non medical prescribing within scope of practice.
Optimise safety through assessment and management of risk.
Act as a key role within the Integrated Neighbourhood Team (INT) taking a population health approach to assist in the management of the end of life population within the INT. Whilst allocated to an INT, work flexibly to ensure planned care work is covered across the entire area.
Use advanced communication skills in delivering highly emotive information clearly, sensitively and unambiguously with staff, patients, families and professionals by face to face, telephone and/or electronic means. This may be where there are barriers to understanding.
Provide skilled and expert palliative nursing interventions, working closely with medical and other colleagues to ensure a coordinated and effective service across boundaries of inpatient, community and outpatients and across professionals, carrying out reactive visits where this supports coordination or continuity of care.
Maintain and develop working relationships with community and hospital colleagues ensuring effective communication so enhancing patient care.
Involve patients, families, and carers in co-production of and making informed decisions regarding strategies to manage their own health and wellbeing.
Participate in the development and updating of practice policies/guidelines and procedures using high-quality contemporary evidence-based resources.
Participate in the evaluation of significant events, capturing the learning from these experiences to improve patient care and service delivery.
Identify own personal development needs, proactively seek feedback, and take effective action to address them using a mix of strategies.
Share knowledge, experience and expertise with nurses and others at all levels, through strategies such as formal and informal teaching, facilitated reflective practice, skills supervision, case load supervision, coaching, mentoring and preceptorship.
Participate in the supervision, evaluation and assessment of nurses aspiring to work at an enhanced level acting as the line manager for allocated Senior Registered Nurses.
Undertake activities that monitor and improve the effectiveness, impact, and value of own and others work.
Use a wide range of contemporary high-quality data, research, evidence based professional practice, and valid and reliable tools and techniques, to proactively evaluate and sustainably improve current ways of working.
Display self-leadership by managing own workload and competing demands.
Support innovation and service development utilising evidence-based approaches to optimise effective, sustainable change
Work within current evidence-based policies, processes, standards, and governance systems, alerting others when revisions are needed to ensure they remain fit for purpose.
Reflect on and contribute to improving ways of working and supporting a culture of safety
Promote a safeguarding is everyones business culture, acting as a safeguarding deputy if required.
Ensure adherence with relevant Infection Prevention and Control policies and procedures, raising any risks to the IPC group / service lead.
Lead and participate in research, integrating research-based evidence in all aspects of specialist palliative care into clinical practice
Contribute to the audit programme, taking a lead role in specialist palliative nursing audits.
Deputise for the Community Service Lead as requested.
Keep abreast of national policy on palliative and end of life nursing strategy to use as a framework for practice development.
To update own specialist skills and knowledge in cancer and palliative care, through continuous professional development.
GENERAL
Where you are a member of a professional body you are required to conform to the professional standards set by that body. You are required to ensure your registration is current and practice continuous professional development.
Because of the special nature of the Hospice and its work, the post holder may on occasion be asked to undertake other duties to help maintain our high standard of care.
THIS JOB DESCRIPTION IS NOT NECESSARILY EXHAUSTIVE AND MAY BE SUBJECT TO REVIEW BY THE DIRECTOR OF CARE IN CONJUNCTION WITH THE POST HOLDER.
Person specification
Personal Qualities
Essential
- Ability to inspire and motivate others
Experience
Essential
- Significant post registration experience including proven palliative care / Oncology experience at a Band 6 or above, or equivalent level
- Experienced in assessing patient needs that may be complex and subject to change
- Knowledge of the national palliative care agenda
- Have an understanding of safeguarding principles and be able to apply these within everyday practice.
Desirable
- Experience of working in the community
- Previous experience of developing and implementing policies and procedures
Specific Skills
Essential
- Expert current knowledge of pain and symptom management, which underpins theory, usually gained through recent clinical practice at a senior level.
Qualifications
Essential
- First level Registered Nurse with current NMC registration
- Level 6 and / or level 7 post registration education in palliative care or related qualification.
- Advanced communication course
- Relevant mentorship qualification
Desirable
- Non -Medical Prescribing
- Supervision qualification
- Counselling qualification
About the employer
The hospice offers a generous benefit package, including:
27 days annual leave entitlement
Pension scheme
Life Cover
Cycle to Work Scheme
Car Leasing Scheme
Health Service Discounts
Occupational Sick Pay
Blue Light Card
Employee Assistance Programme
St Elizabeth Hospice is committed to safeguarding and protecting the adults and young people that we work with and has a zero-tolerance approach to abuse, neglect and discrimination of any person. As such, all posts are subject to a rigorous safer recruitment process, including the disclosure of criminal records and vetting checks. We have a range of robust safeguarding policies in place which promote safeguarding across the hospice and staff are expected to undertake regular, mandatory safeguarding training to equip them with the knowledge and skills to identify and respond to potential risks.