Job summary An exciting opportunity has arisen for an enthusiastic and highly motivated Nursing Associate to join our supportive, professional team within the Inpatient Unit at Bolton Hospice. This will be a challenging and rewarding opportunity for anyone wishing to further develop their nursing skills and knowledge within specialist palliative care. Team Bolton Hospice is friendly, motivated and committed to providing high quality, expert specialist palliative and end of life care to the people of Bolton. Main duties of the job Working as part of the wider multi-disciplinary team, you will support patients with complex clinical needs and provide hands-on, person-centred care. Our staff strive to provide the highest quality of service for our patients and their families and carers, through a collaborative team approach. You must be a Registered Nursing Associate on the NMC register with a Foundation Degree. We are looking for someone compassionate and caring, who has a passion for specialist palliative and end of life care. You will have access to a range of training and development opportunities and be welcomed as a valued member of an experienced and supportive team. About us Because our purpose is caring for all our patients and those most important to them really well, together with creating a great place to work for all our people. We offer our employees an attractive benefits package, including 35 days annual leave including bank holidays, rising to 40 days with long service (pro rata for part-time), generous enhanced maternity package, contributory pension scheme, life assurance, free parking, healthcare cash plan, subsidised meals, option to apply for Blue Light Card and excellent training opportunities. We also offer continuity of service from the NHS with respect to pension and holiday allowance. Date posted 24 January 2025 Pay scheme Other Salary £26,530 to £29,114 a year Pro-Rata, Unsociable hours enhancements paid in addition Contract Permanent Working pattern Full-time, Part-time Reference number B0057-25-0001 Job locations Queens Park Street Bolton BL1 4QT Job description Job responsibilities To work with the multi-disciplinary team and registered nursing staff to contribute to the ongoing assessment of patients, providing and monitoring care in line with the service pathways and as agreed with supervisor. To monitor the condition and health needs of patients within the hospice in partnership with the wider multi-disciplinary team. To use breadth of knowledge to provide holistic and person centred care and support for hospice patients, bridging the gap between Clinical Support Nurses and Staff Nurses by working independently under the leadership of the registered nursing staff and working within all aspects of the nursing process. Key Objectives Promote and maintain the philosophy of the hospice. Make decisions based upon knowledge and experience and be accountable for those decisions in the absence of the senior members of staff. Promote and maintain high quality patient care by acting as a role model for more junior staff. Ensure that all nursing care is carried out in accordance with Nursing & Midwifery Council Scope of Professional Practice. Assist in the delivery of Specialist Palliative Care to patients / families. Act in accordance with Bolton Hospice policies, procedures and protocols and within expected values and behaviours. Ensure standards are maintained at all times. Professional / Clinical Practice Work in accordance with the Nursing & Midwifery Council Code of Conduct. Under the supervision of and working in partnership with a registered nurse, provide and monitor a high standard of nursing care based on evidence, contributing to the ongoing assessment of patients and working collaboratively with the multi-disciplinary team. Provide compassionate, safe and effective care and support to patients in a range of care settings. Monitor the condition and health needs of hospice patients on a continual basis, in partnership with patients, families and carers, ensuring appropriate escalation to a registered nurse when required. Support patients to improve and maintain their mental, physical and behavioural health and wellbeing. Promote comfort and wellbeing by ensuring that patients personal and social needs, as well as nursing needs, are met. Safely undertake the following routine procedures to meet patients nursing needs, to include: venepuncture, ECG recording, measuring and interpreting blood glucose levels, recording and interpreting vital sign, continence care, bladder and bowel care, pressure area care, wound care, nutrition, hydration, foot care, skin integrity, mood identification (as outlined in the NMC Nursing Associate Skills Annex) Identify and report changes in a patients condition to a registered nurse. Prioritise and manage own workload, recognising where elements of care can safely be delegated to other colleagues, carers and family members. Provide and receive sensitive information concerning a patients medical condition. Work with the registered nurses and engage with other agencies and community teams to ensure a safe, individualised approach to the admission and discharge of patients. Maintain accurate, contemporaneous patient records, in line with hospice policy and the NMC Code. Provide effective evidence based care for service users under the supervision of registered nurses, in order to perform non-complex activities, in line with clinical governance and professional standards. Comply with NMC regulations relating to revalidation, in order to maintain NMC registration. Ensure accurate record keeping. Actively participate in and attend ward meetings. Medicines Management and Administration Adhere to Bolton Hospice Management of Medicines Policy. Recognise the effects of medicines, allergies, drug sensitivity, side effects, contraindications and adverse reactions. Undertake safe and effective administration and optimisation of medicines, in accordance with hospice policy and the NMC standards of proficiency for Nursing Associates. Administer medicines via the following routes, in line with NMC Standards and hospice policies: oral, topical, rectal, subcutaneous and intramuscular. Comply with hospice policy in relation to any safety critical medicines to be administered by Nursing Associates. Monitor the condition and health needs of hospice patients, following administration of medication. Recognise and report any situations, behaviours or errors that could result in poor care outcomes related to medicines management. Evidence Based Care, Quality and Standards Identify relevant sources of evidence to inform practice. Critically consider and analyse own practice, in light of best available evidence. Contribute to surveys, audits, research activity, as required to own role, supporting recommended changes in practice. Ensure patients risk assessments are carried out daily Manage risk effectively. Have an awareness of the complaints procedure. Ensure equipment is maintained as appropriate, and necessary records are maintained. Education and Training Comply with mandatory competencies, in line with hospice policy. Engage in a preceptorship period that includes achieving the Nursing Associate Medicines Management Competency Framework. Maintain own continuing professional development, in accordance with NMC CPD requirements and contribute to formulation of own objectives and personal development plan. Undertake a regular KSF review. Support, supervise, teach (where appropriate) and act as a role model to Trainee Nursing Associates, student nurses, Clinical Support Nurses and new staff members, promoting reflection and providing constructive feedback. Contribute to the maintenance of the learning environment. Adopt a reflective approach to own practice with a view to continually improve. Undertake further training as required, prior to carrying out any additional duties identified as relevant to the role, to comply with hospice policies and procedures. Keep up to date with issues in nursing and nursing research, especially those relating to palliative care nursing. Clinical Governance Work with the clinical team to ensure that high standards of treatment and pathways of care, which are evidence based, documented and monitored, are in place. Manage clinical risk issues in collaboration with the Senior Staff. Promote the safety of patients, staff, visitors and volunteers at all times. Communication Communicate effectively and with dignity and respect to all patients, relatives and others, giving consideration to potential barriers to understanding. Communicate effectively with colleagues, providing clear verbal, digital or written information and instructions when sharing information, delegating or handing over responsibility for care. Recognise and report any situations, behaviours or errors that could result in poor care outcomes. Report accidents, incidents, near misses or complaints, following Bolton Hospice policies and procedures. Contribute to a culture where all staff feel safe to raise their concerns and where speaking up about any concerns is a normal part of the routine. Promote the contribution of nursing within the multi-disciplinary team. Develop good communication and professional liaison with all other personnel and agencies involved in the service delivery of palliative care. Attend and participate in organisational meetings to ensure awareness of developments within the area of practice and organisationally. Help create an environment which reflects the Hospices philosophy and its specialist palliative care approach. Promote effective communication between members of the multi-disciplinary team and users of the service. Promote positive communications and relationships with the public. Other The post holder may be required to rotate onto nights, or to different departments in the hospice, to reflect the needs of the service. Any other requirements as appropriate to the post and location. Job description Job responsibilities To work with the multi-disciplinary team and registered nursing staff to contribute to the ongoing assessment of patients, providing and monitoring care in line with the service pathways and as agreed with supervisor. To monitor the condition and health needs of patients within the hospice in partnership with the wider multi-disciplinary team. To use breadth of knowledge to provide holistic and person centred care and support for hospice patients, bridging the gap between Clinical Support Nurses and Staff Nurses by working independently under the leadership of the registered nursing staff and working within all aspects of the nursing process. Key Objectives Promote and maintain the philosophy of the hospice. Make decisions based upon knowledge and experience and be accountable for those decisions in the absence of the senior members of staff. Promote and maintain high quality patient care by acting as a role model for more junior staff. Ensure that all nursing care is carried out in accordance with Nursing & Midwifery Council Scope of Professional Practice. Assist in the delivery of Specialist Palliative Care to patients / families. Act in accordance with Bolton Hospice policies, procedures and protocols and within expected values and behaviours. Ensure standards are maintained at all times. Professional / Clinical Practice Work in accordance with the Nursing & Midwifery Council Code of Conduct. Under the supervision of and working in partnership with a registered nurse, provide and monitor a high standard of nursing care based on evidence, contributing to the ongoing assessment of patients and working collaboratively with the multi-disciplinary team. Provide compassionate, safe and effective care and support to patients in a range of care settings. Monitor the condition and health needs of hospice patients on a continual basis, in partnership with patients, families and carers, ensuring appropriate escalation to a registered nurse when required. Support patients to improve and maintain their mental, physical and behavioural health and wellbeing. Promote comfort and wellbeing by ensuring that patients personal and social needs, as well as nursing needs, are met. Safely undertake the following routine procedures to meet patients nursing needs, to include: venepuncture, ECG recording, measuring and interpreting blood glucose levels, recording and interpreting vital sign, continence care, bladder and bowel care, pressure area care, wound care, nutrition, hydration, foot care, skin integrity, mood identification (as outlined in the NMC Nursing Associate Skills Annex) Identify and report changes in a patients condition to a registered nurse. Prioritise and manage own workload, recognising where elements of care can safely be delegated to other colleagues, carers and family members. Provide and receive sensitive information concerning a patients medical condition. Work with the registered nurses and engage with other agencies and community teams to ensure a safe, individualised approach to the admission and discharge of patients. Maintain accurate, contemporaneous patient records, in line with hospice policy and the NMC Code. Provide effective evidence based care for service users under the supervision of registered nurses, in order to perform non-complex activities, in line with clinical governance and professional standards. Comply with NMC regulations relating to revalidation, in order to maintain NMC registration. Ensure accurate record keeping. Actively participate in and attend ward meetings. Medicines Management and Administration Adhere to Bolton Hospice Management of Medicines Policy. Recognise the effects of medicines, allergies, drug sensitivity, side effects, contraindications and adverse reactions. Undertake safe and effective administration and optimisation of medicines, in accordance with hospice policy and the NMC standards of proficiency for Nursing Associates. Administer medicines via the following routes, in line with NMC Standards and hospice policies: oral, topical, rectal, subcutaneous and intramuscular. Comply with hospice policy in relation to any safety critical medicines to be administered by Nursing Associates. Monitor the condition and health needs of hospice patients, following administration of medication. Recognise and report any situations, behaviours or errors that could result in poor care outcomes related to medicines management. Evidence Based Care, Quality and Standards Identify relevant sources of evidence to inform practice. Critically consider and analyse own practice, in light of best available evidence. Contribute to surveys, audits, research activity, as required to own role, supporting recommended changes in practice. Ensure patients risk assessments are carried out daily Manage risk effectively. Have an awareness of the complaints procedure. Ensure equipment is maintained as appropriate, and necessary records are maintained. Education and Training Comply with mandatory competencies, in line with hospice policy. Engage in a preceptorship period that includes achieving the Nursing Associate Medicines Management Competency Framework. Maintain own continuing professional development, in accordance with NMC CPD requirements and contribute to formulation of own objectives and personal development plan. Undertake a regular KSF review. Support, supervise, teach (where appropriate) and act as a role model to Trainee Nursing Associates, student nurses, Clinical Support Nurses and new staff members, promoting reflection and providing constructive feedback. Contribute to the maintenance of the learning environment. Adopt a reflective approach to own practice with a view to continually improve. Undertake further training as required, prior to carrying out any additional duties identified as relevant to the role, to comply with hospice policies and procedures. Keep up to date with issues in nursing and nursing research, especially those relating to palliative care nursing. Clinical Governance Work with the clinical team to ensure that high standards of treatment and pathways of care, which are evidence based, documented and monitored, are in place. Manage clinical risk issues in collaboration with the Senior Staff. Promote the safety of patients, staff, visitors and volunteers at all times. Communication Communicate effectively and with dignity and respect to all patients, relatives and others, giving consideration to potential barriers to understanding. Communicate effectively with colleagues, providing clear verbal, digital or written information and instructions when sharing information, delegating or handing over responsibility for care. Recognise and report any situations, behaviours or errors that could result in poor care outcomes. Report accidents, incidents, near misses or complaints, following Bolton Hospice policies and procedures. Contribute to a culture where all staff feel safe to raise their concerns and where speaking up about any concerns is a normal part of the routine. Promote the contribution of nursing within the multi-disciplinary team. Develop good communication and professional liaison with all other personnel and agencies involved in the service delivery of palliative care. Attend and participate in organisational meetings to ensure awareness of developments within the area of practice and organisationally. Help create an environment which reflects the Hospices philosophy and its specialist palliative care approach. Promote effective communication between members of the multi-disciplinary team and users of the service. Promote positive communications and relationships with the public. Other The post holder may be required to rotate onto nights, or to different departments in the hospice, to reflect the needs of the service. Any other requirements as appropriate to the post and location. Person Specification Qualifications Essential Registered Nursing Associate on the NMC register with Foundation Degree. GCSE Maths and English, Grade C or above (or equivalent) or Functional Skills Level 2 Maths and English. Desirable Communication skills training. Personal Attributes Essential Able to develop effective and appropriate relationships with patients/families and colleagues. Positive approach to work. Compassionate, caring and open minded. Punctual, reliable and flexible. Able to work proactively, independently and on own initiative. Adaptable and able to work in a team environment. Able to work under pressure. A commitment to the vision and values of Bolton Hospice. Knowledge Essential Understanding of the scope of the Nursing Associate role within the nursing and multi-disciplinary team. Understanding of how the role may contribute to service development. Understanding and evidence of application of the NMC and other professional codes of conduct. Knowledge of when to seek advice and escalate issues as appropriate. Understanding of NMC Professional Revalidation requirements. Understanding the importance of following procedures and treatment plans. Skills Essential Ability to evaluate own strengths and development needs, seeking advice where appropriate. Ability to take part in reflective practice and clinical supervision activities. Ability to organise and prioritise own delegated workload. Ability to deal with non-routine and unpredictable workload and individual patient contact. Ability to support, supervise, assess and act as a role model to students and more junior staff members. Effective time management skills. Able to maintain high standards of quality and accuracy in corporate and clinical record keeping. Computer literate. Excellent written, verbal and non-verbal communication skills at all levels and with patients/families and professionals. Experience Essential Experience of working under appropriate supervision as part of a multi-disciplinary team. Experience of providing and receiving complex sensitive information. Desirable Experience in the specialty. Person Specification Qualifications Essential Registered Nursing Associate on the NMC register with Foundation Degree. GCSE Maths and English, Grade C or above (or equivalent) or Functional Skills Level 2 Maths and English. Desirable Communication skills training. Personal Attributes Essential Able to develop effective and appropriate relationships with patients/families and colleagues. Positive approach to work. Compassionate, caring and open minded. Punctual, reliable and flexible. Able to work proactively, independently and on own initiative. Adaptable and able to work in a team environment. Able to work under pressure. A commitment to the vision and values of Bolton Hospice. Knowledge Essential Understanding of the scope of the Nursing Associate role within the nursing and multi-disciplinary team. Understanding of how the role may contribute to service development. Understanding and evidence of application of the NMC and other professional codes of conduct. Knowledge of when to seek advice and escalate issues as appropriate. Understanding of NMC Professional Revalidation requirements. Understanding the importance of following procedures and treatment plans. Skills Essential Ability to evaluate own strengths and development needs, seeking advice where appropriate. Ability to take part in reflective practice and clinical supervision activities. Ability to organise and prioritise own delegated workload. Ability to deal with non-routine and unpredictable workload and individual patient contact. Ability to support, supervise, assess and act as a role model to students and more junior staff members. Effective time management skills. Able to maintain high standards of quality and accuracy in corporate and clinical record keeping. Computer literate. Excellent written, verbal and non-verbal communication skills at all levels and with patients/families and professionals. Experience Essential Experience of working under appropriate supervision as part of a multi-disciplinary team. Experience of providing and receiving complex sensitive information. Desirable Experience in the specialty. 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 Bolton Hospice Address Queens Park Street Bolton BL1 4QT Employer's website http://www.boltonhospice.org.uk/ (Opens in a new tab)