Overall Purpose: To provide high quality care to patients and families living with palliative and end of life care needs in their own homes. Overall Aim: The post holder will have a key role in providing support to patients and families in their own homes who have palliative and end of life care needs, raising clinical standards and promoting a learning environment for other health and social care providers. The post holder will be responsible for planning, assessing, implementing and evaluating care in partnership with the Primary Health Care Teams, Social Services and act as a link Nurse within GP practices to increase referrals. The post holder will take responsibility for the management of the case load. Act as Deputy Head of care when the head of care is not available. Main Duties of Post: 1. Provide palliative advice and support to patients, families and carers. 2.Assess, plan and implement high standards of individualized patient care in conjunction with the Primary Health Care Team. 3. Monitor patients condition and report significant changes to the Hospice and Primary Health Care Team. 4.Liaise effectively with other health and social care professionals in the community and within the Hospice, acting as a link nurse with primary care to increase referrals. 5. Be responsible for managing the process of receiving and responding to referrals for the Hospice at Home service. 6. Prioritising workload and managing resource allocation as required. 7. Act as a role model for new staff as they undertake their induction programme or students on placement. 8. Contribute to team meetings and handovers. Support H@H team with learning and development. 9. Supervise the work of Hospice Support workers and ensure Hospice policies are followed. 10. Report incidents or emergency situations as they arise and report them to the Head of care in line with Hospice Policies and procedures. 11. Joint responsibility for the provision of 24-hour nursing rota when the need arises and for professional development in the total care of patients requiring specialist palliative care General Responsibilities 12.To undertake all mandatory training as required by HospiceCare andparticipate in appropriate in-service training. 13. Maintain strict confidentiality of all information acquired especially withregard to patients and staff. 14. To undertake an appraisal and personal development review annually andthrough self-development, continuously update and improve knowledge and competencies. 15.To be a co-operative and supportive member of the HospiceCare team, ensuring that all members are aware of any issues in the post holders workload, which may affect other members of the Hospice team. 16. To manage all volunteers used in clinical area and to develop effective working relationships providing regular feedback on their performance. 17.Co-operate fully in the introduction of any new technology and new methods as appropriate. 18.To promote at all times the Hospice philosophy and uphold HospiceCaresvalues. 19. Any other duties that may be reasonably requested. Professional Function Clinical 20. Carry out specific clinical procedures and treatments, basing clinical practice on current evidence-based research. 21. Perform all duties in accordance with NMC Code of Professional Conduct. 22. Ensure that relevant health and safety procedures are maintained within patients homes. 23. To establish and maintain effective communications and working relationships with the multi-professional team. 24. To use skilled communication to support carers and families of patients receiving services from HospiceCare and maintain trusting effective relationships. 25. To ensure that patients and families/carers are identified and appropriately referred to other services both from HospiceCare and the community. 26. To contribute to the development and enhancement of patient care by participating in standard setting, policy development and clinical audit of services. 27. Be responsible for co-ordinating flexible care provision to enable patients to remain at home. 28. Maintain accurate patient records Learning 29. Complete and maintain HospiceCares competencies as required by the role. 30. Develop own knowledge and skills in palliative care, supported by current relevant research and contribute to best practice development of HospiceCares hospice at home team. 31. To demonstrate a commitment to continued professional development by keeping up to date with current issues in nursing practice and attendance at relevant study sessions. 32. Facilitate an environment that optimises and develops knowledge and skills within HospiceCares hospice at home service through reflective practice and education.