Job summary Do you want to be part of a committed and supportive multi-disciplinary team that delivers empowering and compassionate care supporting people with a life limiting illness? Then this role is for you Main duties of the job Your new role As part of our model of care to ensure we have the right people, providing the right care in the right place and at the right time, we are offering Clinical Nurse Specialist (CNS) or Clinical Paramedic Specialist (CPS) roles, which are the equivalent to a Band 7, to work as part of our multi-disciplinary team within the Hospice Outreach Service in the community. So, what does that mean? Our Hospice Outreach Team are the initial point of contact for all new community referrals and all telephone calls coming into the service. They are at the forefront of providing palliative advice and support to patients and families in the place they call home, including care homes and nursing homes. You will be part of a rota of clinicians covering our seven day a week service offering telephone support, as well as clinic and home-based assessments. Our team care for patients who have a life limiting illness and our focus is on individualised care. We focus on improving quality of life and achieving patient centred goals. We care for people with long term conditions; including heart failure, respiratory disease, frailty and neurological conditions, as well as those with an oncological diagnosis. At the Hospice, our team strive to work alongside other community teams and specialists to optimise patient experience and improve our team knowledge and development. About us To succeed in this role You are a motivated clinician with the ability to work as an independent practitioner, while also being part of a responsive and resilient team. You possess advanced communication skills and excellent presentation skills (both oral and written). You have proven community or in-patient palliative care experience at Band 7 or have the equivalent level of experience working in the following related areas: Paramedic, General Medicine, Neurology, Emergency Medicine, Frailty, Respiratory Care, Cardiology or Oncology. You will have sound pharmacological knowledge of medications used within the specialty of palliative care /EOL care. Why join our team? We have flexible working options to suit your work-life balance, and you can transfer your NHS pension. Other benefits include free parking at our Pembury site and a generous holiday allowance, with the ability to buy and sell additional holiday. If you think youre right for this position, we would love to hear from you To discuss your application, request some further information, or to arrange a visit with us, please contact Dea Haysler or Samara Romans, Hospice Outreach Managerson 01892 820 515 ordea.hayslerhospiceintheweald.org.uk/samara.romanshospiceintheweald.org.uk Date posted 19 December 2024 Pay scheme Other Salary £46,148 to £52,809 a year Pay dependent on experience Contract Permanent Working pattern Full-time, Part-time Reference number B0016-Dec2024 Job locations Maidstone Road Pembury Tunbridge Wells Kent TN2 4TA Job description Job responsibilities Job Title Clinical Nurse Specialist (CNS) / Clinical Paramedic Specialist (CPS) Reports to Designated Service Manager Location Based at the Hospice buildings in Pembury, Kent, or Five Ashes, East Sussex, with potential requirement to work at other locations within West Kent and East Sussex. Scope & Job Purpose You will co-ordinate and deliver high quality care to patients with a terminal illness. Providing support and advice to patients in their own homes, community hospitals and care/nursing homes. You will strive to help us to deliver Hospice advice and support to more people who need it, you will provide clinical advice and interventional support to other professionals on palliative care issues and play a significant role in helping patients to achieve their personal goals and preferred place of care. Key Responsibilities Deliverables/Outcomes Effectively and efficiently manage patients, ensuring the right person is seeing the right patient in the right place at the right time. Work as part of a team to achieve referral outcome measures as stated in the Hospice in the Weald Business Strategy. Attendance at palliative care meetings held at GP practices. Engage in and promote the use of End of Life Care tools. Participate in the provision of high-quality information to patients and those important to them regarding their disease, treatment and services available; adapting this advice to suit individual needs. Undertake the Advanced Physical Assessment of patients, ensuring a holistic assessment is completed so that, as an organisation, we can offer the best possible care for the patient and those important to them Ensure symptom control and End of Life Care is delivered, documented and reviewed to the highest standard. Ensure that the patient is reviewed at MDT or caseload review in accordance with NICE Guidance Participate in the provision of a 7 day a week service including weekends and Bank Holidays. Participate in agreed methods of duty planning. Management and Leadership Liaise closely with line manger on control, distribution, and management of clinical workload. Be cognizant of the Hospice in the Wealds Three-Year Strategy and Operational Business Plan. Work to maintain a high level of risk awareness about self and patient safety Assist in the development of policies, procedures, and guidelines to continuously improve ways of working. Support and empower our volunteers and more junior members of the workforce Communications and Teamwork Advise and support the multi-disciplinary team to enable them to provide high quality care, planning ahead, giving advice on pain and symptom control, advanced care planning, social and psychological care, communication and use of resources. Provide a high standard of sensitive communication with patients and those important to them, which maintains an individuals privacy and dignity. Audit and Research In consultation with managers, ensure all work is evidence based. Contribute to performance and activity reports and analysis to Hospice in the Weald using ICT/information to produce intelligence for future service provision. Develop, in conjunction with line management, mechanisms for auditing care within the service and implement changing practice as a result. Participate in or support, where appropriate, nursing and/or collaborative clinical research in palliative care Training and Development Actively plan and participate in the provision of supervision/reflective practice to colleagues to support engaging development opportunities. Undertake Hospice mandatory training and participate in wider training and development opportunities Act as a role model and mentor to colleagues and to be an ambassador to neighbouring health and social care providers, providing informal education and support to staff in their provision of palliative care. Work collaboratively with the multi-professional team to provide training to care homes on End of Life Care as required. Undertake external training to enhance the CNS/ CPS role as appropriate General Maintain professionalism through adherence to recognized Codes (e.g. NMC, GMC, HPC, HCPC) and work within the boundaries of Hospice in the Weald policies Maintain professional development though the Hospice Annual Review process to continuously update and improve knowledge and competencies Engage in the use of information and communication technology (ICT) in the area you are working and achieve the required level of competence. Any other duties that may be reasonably requested. Strive for excellence always. THIS JOB DESCRIPTION IS NOT EXHAUSTIVE AND IS SUBJECT TO REVIEW IN CONJUNCTION WITH THE POST HOLDER AND ACCORDING TO FUTURE CHANGES/DEVELOPMENTS IN THE SERVICE. Helping out - Fundraising Activities Hospice in the Weald is a registered charity and not part of the NHS. We rely on support from the community we serve, to enable us to develop and deliver our services. It costs over £7 million to run the Hospice every year the majority of which comes from voluntary contributions from the general public. In addition, we have over 1000 volunteers giving their time to the Hospice by helping in every Service and Department. We expect all members of staff to support the fundraising activities of the Hospice. We encourage every staff member to help out at, at least two fundraising activities every year. Opportunities to support fundraising activities are varied, and could include helping at fundraising or shop events, attending a cheque presentation or giving a short talk about the work of the Hospice to an interested group in the community. Your manager will ask you which events you have helped out at, when you meet for one to one meetings and as part of the Annual Review process. Job description Job responsibilities Job Title Clinical Nurse Specialist (CNS) / Clinical Paramedic Specialist (CPS) Reports to Designated Service Manager Location Based at the Hospice buildings in Pembury, Kent, or Five Ashes, East Sussex, with potential requirement to work at other locations within West Kent and East Sussex. Scope & Job Purpose You will co-ordinate and deliver high quality care to patients with a terminal illness. Providing support and advice to patients in their own homes, community hospitals and care/nursing homes. You will strive to help us to deliver Hospice advice and support to more people who need it, you will provide clinical advice and interventional support to other professionals on palliative care issues and play a significant role in helping patients to achieve their personal goals and preferred place of care. Key Responsibilities Deliverables/Outcomes Effectively and efficiently manage patients, ensuring the right person is seeing the right patient in the right place at the right time. Work as part of a team to achieve referral outcome measures as stated in the Hospice in the Weald Business Strategy. Attendance at palliative care meetings held at GP practices. Engage in and promote the use of End of Life Care tools. Participate in the provision of high-quality information to patients and those important to them regarding their disease, treatment and services available; adapting this advice to suit individual needs. Undertake the Advanced Physical Assessment of patients, ensuring a holistic assessment is completed so that, as an organisation, we can offer the best possible care for the patient and those important to them Ensure symptom control and End of Life Care is delivered, documented and reviewed to the highest standard. Ensure that the patient is reviewed at MDT or caseload review in accordance with NICE Guidance Participate in the provision of a 7 day a week service including weekends and Bank Holidays. Participate in agreed methods of duty planning. Management and Leadership Liaise closely with line manger on control, distribution, and management of clinical workload. Be cognizant of the Hospice in the Wealds Three-Year Strategy and Operational Business Plan. Work to maintain a high level of risk awareness about self and patient safety Assist in the development of policies, procedures, and guidelines to continuously improve ways of working. Support and empower our volunteers and more junior members of the workforce Communications and Teamwork Advise and support the multi-disciplinary team to enable them to provide high quality care, planning ahead, giving advice on pain and symptom control, advanced care planning, social and psychological care, communication and use of resources. Provide a high standard of sensitive communication with patients and those important to them, which maintains an individuals privacy and dignity. Audit and Research In consultation with managers, ensure all work is evidence based. Contribute to performance and activity reports and analysis to Hospice in the Weald using ICT/information to produce intelligence for future service provision. Develop, in conjunction with line management, mechanisms for auditing care within the service and implement changing practice as a result. Participate in or support, where appropriate, nursing and/or collaborative clinical research in palliative care Training and Development Actively plan and participate in the provision of supervision/reflective practice to colleagues to support engaging development opportunities. Undertake Hospice mandatory training and participate in wider training and development opportunities Act as a role model and mentor to colleagues and to be an ambassador to neighbouring health and social care providers, providing informal education and support to staff in their provision of palliative care. Work collaboratively with the multi-professional team to provide training to care homes on End of Life Care as required. Undertake external training to enhance the CNS/ CPS role as appropriate General Maintain professionalism through adherence to recognized Codes (e.g. NMC, GMC, HPC, HCPC) and work within the boundaries of Hospice in the Weald policies Maintain professional development though the Hospice Annual Review process to continuously update and improve knowledge and competencies Engage in the use of information and communication technology (ICT) in the area you are working and achieve the required level of competence. Any other duties that may be reasonably requested. Strive for excellence always. THIS JOB DESCRIPTION IS NOT EXHAUSTIVE AND IS SUBJECT TO REVIEW IN CONJUNCTION WITH THE POST HOLDER AND ACCORDING TO FUTURE CHANGES/DEVELOPMENTS IN THE SERVICE. Helping out - Fundraising Activities Hospice in the Weald is a registered charity and not part of the NHS. We rely on support from the community we serve, to enable us to develop and deliver our services. It costs over £7 million to run the Hospice every year the majority of which comes from voluntary contributions from the general public. In addition, we have over 1000 volunteers giving their time to the Hospice by helping in every Service and Department. We expect all members of staff to support the fundraising activities of the Hospice. We encourage every staff member to help out at, at least two fundraising activities every year. Opportunities to support fundraising activities are varied, and could include helping at fundraising or shop events, attending a cheque presentation or giving a short talk about the work of the Hospice to an interested group in the community. Your manager will ask you which events you have helped out at, when you meet for one to one meetings and as part of the Annual Review process. Person Specification Qualifications Essential Registered Nurse (Level 1) or Registered Paramedic (HCPC) with 3 years post registration experience. Evidence of ongoing Professional Development. Relevant BSc. Principles of End of Life Care masters module. Experience Proven track record of contemporaneous clinical practice. Experience in Palliative and End of Life Care and Bereavement Support in a community setting Prepared and delivered education programmes to other healthcare professionals. Desirable Ability to motivate and inspire others to achieve in a fast paced and challenging environment. Takes the initiative and responds flexibly to change. Delegates tasks appropriately. Ability to develop rapport with a wide range of people and to act with credibility, tact and diplomacy. High level of computer literacy skills including the use of mobile technology. Ability to interpret situations from different angles and identify opportunities for improvement. Forward thinking and proactive in decision making and in assessing risks and its mitigation. Applies personal organisation strategies to prioritise and effectively manage workload within a team environment. Personal Attributes Passionate about providing individualised care Dedicated to making a difference and changing peoples lives Compassionate High levels of enterprise, innovation and dedication. Maintains a calm disposition and positive outlook. Proactive team player Ability to work well within and adapt to a changing environment. Willingness to travel to varying work locations. Sense of humour. Forward thinking. Person Specification Qualifications Essential Registered Nurse (Level 1) or Registered Paramedic (HCPC) with 3 years post registration experience. Evidence of ongoing Professional Development. Relevant BSc. Principles of End of Life Care masters module. Experience Proven track record of contemporaneous clinical practice. Experience in Palliative and End of Life Care and Bereavement Support in a community setting Prepared and delivered education programmes to other healthcare professionals. Desirable Ability to motivate and inspire others to achieve in a fast paced and challenging environment. Takes the initiative and responds flexibly to change. Delegates tasks appropriately. Ability to develop rapport with a wide range of people and to act with credibility, tact and diplomacy. High level of computer literacy skills including the use of mobile technology. Ability to interpret situations from different angles and identify opportunities for improvement. Forward thinking and proactive in decision making and in assessing risks and its mitigation. Applies personal organisation strategies to prioritise and effectively manage workload within a team environment. Personal Attributes Passionate about providing individualised care Dedicated to making a difference and changing peoples lives Compassionate High levels of enterprise, innovation and dedication. Maintains a calm disposition and positive outlook. Proactive team player Ability to work well within and adapt to a changing environment. Willingness to travel to varying work locations. Sense of humour. Forward thinking. Disclosure and Barring Service Check 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. UK Registration Applicants must have current UK professional registration. For further information please see NHS Careers website (opens in a new window). Additional information Disclosure and Barring Service Check 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. UK Registration Applicants must have current UK professional registration. For further information please see NHS Careers website (opens in a new window). Employer details Employer name Hospice in the Weald Address Maidstone Road Pembury Tunbridge Wells Kent TN2 4TA Employer's website https://www.hospiceintheweald.org.uk (Opens in a new tab)