Job summary We are seeking an Allied Health Professional or Registered Nurse (Adult) to lead and manage the Hospice at Home Team, in order to deliver high quality Community End of Life Care. If you are a compassionate, innovative, motivated and forward thinking clinical leader, then this could be the job for you. The successful candidate will support and develop the team of nurses who line manage a large team of healthcare assistants and ensure high quality and safe care for patients in the last weeks of life and their families. The Hospice at Home Team support patients who are in the last weeks of their life and want to be at home. The team works closely with families, community nursing teams and the wider hospice services to give the best care and support possible at this crucial time. Main duties of the job The Hospice at Home Team are experts in ensuring high quality End of Life care is delivered to patients and their families. They work independently, and as part of the wider health care team. The Hospice at Home Operational Lead role provides clinical leadership, operational management, and professional support to the team. This includes staff recruitment and retention, skill mix and team development. Work with the Access and Community Nurse Specialist Operational Lead and Head of Community Nursing to develop the Community Nursing Strategy and set team objectives Manage, lead and develop the Hospice at Home Team to work efficiently and effectively in the delivery of high quality and progressive end of life care in line with the Hospice strategy and policies. Contributes to the culture of leadership across the hospice Develops collaborative working relationships with other hospice teams and the wider community services to align services. To be part of the Hospice at Home on Call/Out of hours rota with potential to join the Senior Clinical on Call rota About us St Peter's Hospice is a well-loved hospice that provides extensive inpatient and community services, in Bristol and the surrounding areas. Every year St Peter's Hospice makes a difference in the lives of thousands of patients and their families when it matters most. Many of our staff work directly with patients and their families in nursing, health care and medical jobs. Others raise money to support patient care through our chain of over 40 charity shops and our fundraising activities. We also have a significant number of staff working in varied office-based roles. Our aim is to provide an inclusive, safe and healthy workplace that boosts creativity and motivation. Our Inpatient Unit is a state-of-the-art centre of clinical excellence, that was built with the generous support of the people of Bristol. Beyond our Inpatient Unit, you'll find our team in homes and on the phone 24/7. More recently in response to the pandemic we have moved some services online to continue support for our patients. The Hospice is also a centre of educational excellence and we teach other healthcare professionals about how to care for people at the end of their lives, supporting the NHS and care homes provide end of life care. Date posted 31 December 2024 Pay scheme Other Salary £46,148 to £52,809 a year Contract Permanent Working pattern Full-time Reference number STP1070124 Job locations St Peter's Hospice Charlton Road Bristol Somerset BS10 6NL Job description Job responsibilities Leadership and management KSF 2-3 Manage a team, lead by example and contribute to the culture of leadership across the organisation 1.Takes ownership and prepared to be held accountable 2.Lead by example and role model ethical behaviours and Hospice values 3.Set team objectives in conjunction with the Head of Community Nursing 4.Develop and communicate standards and expected levels of performance 5.Identify and manage poor performance 6.Delegate effectively and develops team members 7.Deputise for the Head of Community Nursing 8.Lead the evaluation of strategic aims in own delivery area Clinical practice 1.Oversight of the team held clinical caseload of patients living in the community 2.Ensure a standardized approach to caseload management 3.Evaluate how best to measure impact on patient care 4.Take and analyse a clinical history in a relevant succinct and logical manner 5.Independently assess the patients needs, identify their priorities and work with the patient and family towards achieving them 6.Demonstrate an in-depth knowledge of the options for achieving control of symptoms in the last weeks of life and ability to advise the primary health care team 7.Demonstrate an ability to explore the personal resources of families/carers in order to facilitate where possible that patients are cared for in the place of their choice 8.Support and coach carers at home in managing a relative whose condition is deteriorating 9.Recognise the impact of caring for dying patients on yourself, internal and external colleagues and offer / seek support 10.Maintain the competence to safely administer medication in the community including syringe pumps and other competencies in agreed areas. 11.Recognise and manage palliative care emergencies 12.Support the team to bring closure to the clinician-patient relationship and provide for a safe transition to another care provider as appropriate 13.Instigate and support MDT case review meetings. 14.Investigate and respond to complaints and concerns Optional: 15.Use physical assessment and clinical reasoning skills as part of patient assessment and to support clinical advice, professional communication and documentation. 16.Perform Independent Prescribing within area of competence once registered as an Independent Prescriber with the Nursing and Midwifery Council/Health and care Professional Council and practice according to local policy. Communication KSF 3/4 Can develop and maintain communication with people on complex matters and Ideas and in complex situations 1.Act as an advocate for the team both internally and externally 2.Maintain high standards of integrity when communicating 3.Role model and encourage effective communication 4.Develop partnerships and actively maintain them 5.Anticipate barriers to communication and takes action to improve communication 6.Communicate effectively and calmly in difficult situations and with difficult people 7.Structure an interview using appropriate questioning, avoid jargon, using familiar language, at patients own pace 8.Record concisely, accurately, confidentially and legibly the appropriate elements of problems identified and management plan in both clinical and non-clinical situations 9.Break bad news in steps appropriate to the understanding of the individual and be able to support distress and have discussions around prognosis and future care options 10.Demonstrate an understanding of the need to involve patients and carers in decision making, offering them informed choices, respecting their views 11.Use the Recommended Summary Plan for Emergency Care and Treatment (ReSPECT plus) process and form to support the documentation and communication of the patients preferences and clinical recommendations for emergency care and treatment 12.Manage dissatisfied patients/relatives, anticipating potential problems and managing expectations 13.Provide feedback to others on their communication Personal and People Development KSF 3/4 Develop oneself and others in areas of practice 1.Identify development needs for others and agree objectives, specifically supporting team leaders in their role to develop and support the band 6 team. 2.Enable opportunities for others to apply their developing knowledge and skills 3.Create opportunities to enable everyone to learn from each other and from external good practice 4.Contribute to the evaluation of the effectiveness of others learning 5.Ensure all employees within the team have annual appraisals and personal development plans in place and complete statutory and mandatory training 6.Take responsibility for identifying and meeting own development needs 7.Generate and use appropriate learning opportunities and apply own learning to development of practice 8.Assess how well last years objectives were met and helps set new ones for the year ahead 9.Apply evidence to patient care 10.Use strategies to develop own resilience 11.Practice effectively by reflecting to support practice improvement, this maybe with colleagues and/or be engaging with clinical supervision Health Safety and Security KSF 3 Promote, monitor and maintain best practice in health, safety and security including issues specific to lone working 1.Identify and manage risk at work and helps others to do the same, specifically the risks associated with lone working in the community and remote offices 2.Make sure others work in a way that complies with legislation and hospice policies and procedures on health, safety and risk management 3.Carry out and supports others to carry out risk assessments 4.Check work area to make sure it is free from risks and conforms to legislation and hospice policies and procedures on health, safety and risk management 5.Take the right action when risk is identified 6.Find ways of improving health, safety and security Service Improvement KSF 3/4 Work in partnership with others to develop, take forward and evaluate direction, policies and strategy 1.Use expertise and experience to contribute to the development of strategic plans, standards, performance indicators, policies and procedures for the team 2.Formulate implementation plans and agree prioritisation to take forward agreed improvements 3.Present a positive role model in times of service improvement 4.Support and works with others to help them understand the need for change and to adapt to it 5.Enable and encourages others to suggest change, challenge tradition and share good practice with other areas of the organisation 6.Evaluate the changes made and suggests further improvements where needed Governance, Quality and Improving Clinical Practice KSF 3/4 Contribute to developing a culture that improves quality 1.Implement, support and monitor quality and governance processes 2.Promote quality approaches making others aware of the impact of quality 3.Understand own role, its scope and how this may change and develop over time in a developing organisation 4.Review effectiveness of own team and helps and enables others to work as a team 5.Prioritise own workload and manages own time in a manner that maintains and promotes high quality 6.Evaluate the quality of own and others work and raises quality issues and related risks with the appropriate people 7.Support changes in own area that improves the quality of systems and processes 8.Take appropriate action when there is a persistent problem with quality Equality and diversity KSF 3 Promote equality and value diversity 1.Interpret equality, diversity and rights in accordance with legislation, policies, procedures and good practice 2.Act as a role model in own behaviour and fosters a non-discriminatory culture 3.Promote equality and diversity in own area and ensures policies are adhered to 4.Manage people and applies internal processes in a fair and equal way Job description Job responsibilities Leadership and management KSF 2-3 Manage a team, lead by example and contribute to the culture of leadership across the organisation 1.Takes ownership and prepared to be held accountable 2.Lead by example and role model ethical behaviours and Hospice values 3.Set team objectives in conjunction with the Head of Community Nursing 4.Develop and communicate standards and expected levels of performance 5.Identify and manage poor performance 6.Delegate effectively and develops team members 7.Deputise for the Head of Community Nursing 8.Lead the evaluation of strategic aims in own delivery area Clinical practice 1.Oversight of the team held clinical caseload of patients living in the community 2.Ensure a standardized approach to caseload management 3.Evaluate how best to measure impact on patient care 4.Take and analyse a clinical history in a relevant succinct and logical manner 5.Independently assess the patients needs, identify their priorities and work with the patient and family towards achieving them 6.Demonstrate an in-depth knowledge of the options for achieving control of symptoms in the last weeks of life and ability to advise the primary health care team 7.Demonstrate an ability to explore the personal resources of families/carers in order to facilitate where possible that patients are cared for in the place of their choice 8.Support and coach carers at home in managing a relative whose condition is deteriorating 9.Recognise the impact of caring for dying patients on yourself, internal and external colleagues and offer / seek support 10.Maintain the competence to safely administer medication in the community including syringe pumps and other competencies in agreed areas. 11.Recognise and manage palliative care emergencies 12.Support the team to bring closure to the clinician-patient relationship and provide for a safe transition to another care provider as appropriate 13.Instigate and support MDT case review meetings. 14.Investigate and respond to complaints and concerns Optional: 15.Use physical assessment and clinical reasoning skills as part of patient assessment and to support clinical advice, professional communication and documentation. 16.Perform Independent Prescribing within area of competence once registered as an Independent Prescriber with the Nursing and Midwifery Council/Health and care Professional Council and practice according to local policy. Communication KSF 3/4 Can develop and maintain communication with people on complex matters and Ideas and in complex situations 1.Act as an advocate for the team both internally and externally 2.Maintain high standards of integrity when communicating 3.Role model and encourage effective communication 4.Develop partnerships and actively maintain them 5.Anticipate barriers to communication and takes action to improve communication 6.Communicate effectively and calmly in difficult situations and with difficult people 7.Structure an interview using appropriate questioning, avoid jargon, using familiar language, at patients own pace 8.Record concisely, accurately, confidentially and legibly the appropriate elements of problems identified and management plan in both clinical and non-clinical situations 9.Break bad news in steps appropriate to the understanding of the individual and be able to support distress and have discussions around prognosis and future care options 10.Demonstrate an understanding of the need to involve patients and carers in decision making, offering them informed choices, respecting their views 11.Use the Recommended Summary Plan for Emergency Care and Treatment (ReSPECT plus) process and form to support the documentation and communication of the patients preferences and clinical recommendations for emergency care and treatment 12.Manage dissatisfied patients/relatives, anticipating potential problems and managing expectations 13.Provide feedback to others on their communication Personal and People Development KSF 3/4 Develop oneself and others in areas of practice 1.Identify development needs for others and agree objectives, specifically supporting team leaders in their role to develop and support the band 6 team. 2.Enable opportunities for others to apply their developing knowledge and skills 3.Create opportunities to enable everyone to learn from each other and from external good practice 4.Contribute to the evaluation of the effectiveness of others learning 5.Ensure all employees within the team have annual appraisals and personal development plans in place and complete statutory and mandatory training 6.Take responsibility for identifying and meeting own development needs 7.Generate and use appropriate learning opportunities and apply own learning to development of practice 8.Assess how well last years objectives were met and helps set new ones for the year ahead 9.Apply evidence to patient care 10.Use strategies to develop own resilience 11.Practice effectively by reflecting to support practice improvement, this maybe with colleagues and/or be engaging with clinical supervision Health Safety and Security KSF 3 Promote, monitor and maintain best practice in health, safety and security including issues specific to lone working 1.Identify and manage risk at work and helps others to do the same, specifically the risks associated with lone working in the community and remote offices 2.Make sure others work in a way that complies with legislation and hospice policies and procedures on health, safety and risk management 3.Carry out and supports others to carry out risk assessments 4.Check work area to make sure it is free from risks and conforms to legislation and hospice policies and procedures on health, safety and risk management 5.Take the right action when risk is identified 6.Find ways of improving health, safety and security Service Improvement KSF 3/4 Work in partnership with others to develop, take forward and evaluate direction, policies and strategy 1.Use expertise and experience to contribute to the development of strategic plans, standards, performance indicators, policies and procedures for the team 2.Formulate implementation plans and agree prioritisation to take forward agreed improvements 3.Present a positive role model in times of service improvement 4.Support and works with others to help them understand the need for change and to adapt to it 5.Enable and encourages others to suggest change, challenge tradition and share good practice with other areas of the organisation 6.Evaluate the changes made and suggests further improvements where needed Governance, Quality and Improving Clinical Practice KSF 3/4 Contribute to developing a culture that improves quality 1.Implement, support and monitor quality and governance processes 2.Promote quality approaches making others aware of the impact of quality 3.Understand own role, its scope and how this may change and develop over time in a developing organisation 4.Review effectiveness of own team and helps and enables others to work as a team 5.Prioritise own workload and manages own time in a manner that maintains and promotes high quality 6.Evaluate the quality of own and others work and raises quality issues and related risks with the appropriate people 7.Support changes in own area that improves the quality of systems and processes 8.Take appropriate action when there is a persistent problem with quality Equality and diversity KSF 3 Promote equality and value diversity 1.Interpret equality, diversity and rights in accordance with legislation, policies, procedures and good practice 2.Act as a role model in own behaviour and fosters a non-discriminatory culture 3.Promote equality and diversity in own area and ensures policies are adhered to 4.Manage people and applies internal processes in a fair and equal way Person Specification Experience Essential Significant experience of leadership and management Knowledge of clinical governance and evidence-based practice Knowledge of issues related to the provision of palliative care in the community Knowledge of safeguarding individuals who are at risk Knowledge of relevant digital systems e.g. EMIS Desirable Palliative care experience Symptom management for patients at the end of life Advance Care Planning Experience of - service development teaching assessing risk Additional Criteria Essential Excellent verbal/written and digital communication skills Professional behaviour and communication Staff development and performance management Demonstrate ability to holistically assess patients Time and organisation management Audit and practice development Desirable Facilitation of learning Managing complaints Physical examination skills Independent prescribing Additional Criteria Essential Demonstrate St Peters Hospice Values Excellence Compassion Respect Passion Collaboration Flexible and resilient A people person who enjoys team and people development A problem solver and decision-maker Organised and can manage changing priorities Additional Criteria Essential Current driving licence Access to a vehicle for work purposes Live within one hour of the hospice for on call purposes Qualifications Essential Current HCPC/NMC registration Relevant qualification at degree level Communication skills training, or willingness to undertake Valid UK driving licence Desirable Leadership training Mentoring training Independent prescribing Physical assessment and clinical reasoning, or willingness to undertake Person Specification Experience Essential Significant experience of leadership and management Knowledge of clinical governance and evidence-based practice Knowledge of issues related to the provision of palliative care in the community Knowledge of safeguarding individuals who are at risk Knowledge of relevant digital systems e.g. EMIS Desirable Palliative care experience Symptom management for patients at the end of life Advance Care Planning Experience of - service development teaching assessing risk Additional Criteria Essential Excellent verbal/written and digital communication skills Professional behaviour and communication Staff development and performance management Demonstrate ability to holistically assess patients Time and organisation management Audit and practice development Desirable Facilitation of learning Managing complaints Physical examination skills Independent prescribing Additional Criteria Essential Demonstrate St Peters Hospice Values Excellence Compassion Respect Passion Collaboration Flexible and resilient A people person who enjoys team and people development A problem solver and decision-maker Organised and can manage changing priorities Additional Criteria Essential Current driving licence Access to a vehicle for work purposes Live within one hour of the hospice for on call purposes Qualifications Essential Current HCPC/NMC registration Relevant qualification at degree level Communication skills training, or willingness to undertake Valid UK driving licence Desirable Leadership training Mentoring training Independent prescribing Physical assessment and clinical reasoning, or willingness to undertake 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 St Peter’s Hospice Address St Peter's Hospice Charlton Road Bristol Somerset BS10 6NL Employer's website https://www.stpetershospice.org.uk (Opens in a new tab)