To support the nursing team in the delivery of nursing care to the patients and their family/caregivers, in their own home, providing evidence based, individualised end of life care. To support the Primary Healthcare teams in the delivery of its services, in line with the District nurses care plan, whilst adhering to statutory regulations and Hospice policies. To work under the direct and indirect supervision of the Hospice at Home Lead, in the delivery of quality holistic nursing care for patients in their own homes. Respond to the specific needs of palliative care patients and their significant others, in line with agreed care plans. Recognise and report any changes in patients condition and where appropriate provide care and support under the direction of a Registered Nurse. Communicate effectively and sensitively to patients, their significant others and other professionals, referring questions and concerns to the appropriate personnel. Assess and reassess patients capabilities as needs change regarding assistance with the activities of daily living and emotional care including; Personal care including hair, nails, shaving. Mouth care. Toileting needs, continence issues/care. Drinking and eating. Mobility, assisting patients and utilising safe moving and handling techniques/equipment to help maintain skin integrity. Comfort measures and reassuring presence. Provide emotional support to patients and those that are important to them, including post bereavement support. Ensures safe and responsible use of equipment identifying and reporting any malfunction, taking action to maintain safety as directed. To provide practical support to the family in terms of guidance and advice around safe delivery of personal care when appropriate. Where appropriate assist with last offices and support other nursing staff with the care of the deceased. Help promote and maintain an environment that is safe and conducive to meeting the needs of patients, their relatives and friends. Promote and maintain dignity and privacy at all times To take into account, and meet, the physical, emotional, spiritual, and social needs of the patient, their relatives and friends. Actively contributes and promotes a team approach to care based on mutual support and respect Ensure effective and efficient use of time and other resources At all times to maintain the following standards: a. Ensure confidentiality in line with Caldicott Guidelines. b. Be approachable c. Non-judgemental d. Trustworthy e. Motivated to deliver high quality care f. Supportive to the patient, their family/informal carers and colleagues g. Use own initiative h. Ability to work autonomously or as part of a team i. Flexible and professional approach to meet service needs To create and maintain accurate contemporaneous patient records, ensuring compliance with Myton Hospice policy and procedures Take all measures to ensure the safety and welfare of all patients and staff, having due regard to the Health and Safety at Work Act. Actively contribute to developing the service to enhance the care and support available to patients and families. Be responsible for own continued development Manage clinical duties and resources effectively to ensure the smooth running of the service, working alone for periods adhering to The Myton Hospices Lone Worker Policy. Ensure that their transport is road-worthy and fit for use as per policy.