Job summary This community-based role involves travel across Exeter and surrounding areas and participating in seven-day service provision. Why Join Us? Retain your NHS pension Free staff parking Career development opportunities Flexible and compassionate workplace Wellbeing and mental health support Main duties of the job As a registered nurse with experience in palliative care or a related field, you will work with our multi-disciplinary team to provide exceptional, evidence-based, person-centred care for patients with complex, life-limiting illnesses. You will manage a patient caseload, offer expert advice and interventions, and collaborate effectively with local GPs and Community Nurses as part of Hospiscare’s renowned specialist care. About us Hospiscare has been supporting people in Exeter, Mid and East Devon with terminal illnesses for over 40 years. Our services include support at home, a specialist palliative care ward, out-patients clinics, and supportive therapies. We support close to 2,200 local people each year, in some of the hardest times possible. As a local charity, we raise around £10 million each year to continue to provide our care. Our staff, volunteers and supporters help us to care for people when they're most in need, no matter what their individual circumstances may be. We're proud to be rated as 'five star' by patients and families and as 'outstanding' by the Care Quality Commission, to have been awarded a Mind Bronze Award for wellbeing at work and to be a Disability Confident employer. Date posted 13 January 2025 Pay scheme Agenda for change Band Band 6 Salary £37,338 to £44,962 a year Contract Permanent Working pattern Part-time Reference number DV12251151 SCNS Job locations 1 Spreyton Yard Spreyton Devon EX17 5AG Job description Job responsibilities Job Description 1. JOB DETAILS Job Title: Clinical Nurse Specialist (CNS) Band: 6 Location: Community Hours: As on contract, to include on-call Team/Directorate: Community Cluster Responsible To: Community Cluster Team Leader (CCTL) Responsible For: N/A Accountable to: Head of Community and Supportive Care Services 2. JOB PURPOSE To deliver an excellent standard of evidence based specialist palliative nursing care and clinical advice. To promote dignity, encompassing a person centred approach, to positively enhance the lives of patients in the community with complex life limiting illnesses. 3. KEY RESULT AREAS/PRINCIPAL DUTIES AND RESPONSIBILITIES 3.1 Main Responsibilities Provide advanced specialist palliative care by contributing highly experienced clinical judgement and knowledge in complex palliative and end of life care in order to promote best practice for adults with life limiting illnesses. Demonstrate advanced communication skills and professionalism in all interactions with patients and those close to them, carers and other professionals in order to promote and maintain Hospiscare values. Contribute to the daily clinical leadership of junior staff within the community team to ensure team effectiveness, cover and cohesion. Deliver education and learning, both internally and externally, for all those involved in palliative/end of life care, to ensure evidence based practice. Attend and contribute to multi-disciplinary, complex care and Gold Standards Framework (GSF) or End of Life meetings to promote best practice. Contribute to Hospiscares clinical governance and audit process in order to support continuing quality improvement and learning. Assess and identify complex bereavement and effectively communicate with the Supportive Care team to enable a seamless handover into Hospiscares Bereavement Care Services. Infection Prevention and Control Maintaining a safe environment for patients, visitors and employees is everyones responsibility. All staff are required to adhere to Hospiscares Infection Prevention and Control Policy and make every effort to maintain high standards of infection prevention and control at all times. This includes ensuring personal and team compliance with all relevant policies and procedures, and acting upon or reporting any identified risks. Disclosure and Barring Service This role requires a Disclosure and Barring Service (DBS) Enhanced level check with Adults and Children Barred Lists. 3.2 Key Contacts Internal: CCTL and Community teams Head of Community and Supportive Care Services Ward Manager and IPU team Medical team Supportive Care Services Clinical Governance Clinical Administration Learning & Development team External: Patients and those close to them Royal Devon University Healthcare NHS Foundation Trust NHS Community Services General Practitioners Residential and Nursing Homes Social and Domiciliary Care Workers Providers of out-of-hours services 3.3 Health & Safety Ensure that Health and Safety guidelines and fire regulations are strictly adhered to Comply with safe working practices as defined by Hospiscare Complete online training as and when required Take reasonable care for your own health and safety and that of others who may be affected by acts or omissions at work Report any accidents, incidents or near misses as soon as reasonably practicable Manage own work life balance and general wellbeing, including any relevant pressures in respect of lone working, travel, difficult environments and challenging situations 3.4 General Be aware of and adhere to Hospiscare policies and procedures at all times Take part in progress/performance reviews throughout the year Cooperate with other Hospiscare departments Attend training courses and complete online training modules as required to meet the requirements of the post Take responsibility for own personal development, seeking out opportunities to learn new skills Undertake any other duties as requested by management which are reasonably deemed to be within the scope of the role 3.5 Other Apply the Hospiscare values and behaviours to every aspect of the role at all times Promote and maintain the brand standards of Hospiscare Job description Job responsibilities Job Description 1. JOB DETAILS Job Title: Clinical Nurse Specialist (CNS) Band: 6 Location: Community Hours: As on contract, to include on-call Team/Directorate: Community Cluster Responsible To: Community Cluster Team Leader (CCTL) Responsible For: N/A Accountable to: Head of Community and Supportive Care Services 2. JOB PURPOSE To deliver an excellent standard of evidence based specialist palliative nursing care and clinical advice. To promote dignity, encompassing a person centred approach, to positively enhance the lives of patients in the community with complex life limiting illnesses. 3. KEY RESULT AREAS/PRINCIPAL DUTIES AND RESPONSIBILITIES 3.1 Main Responsibilities Provide advanced specialist palliative care by contributing highly experienced clinical judgement and knowledge in complex palliative and end of life care in order to promote best practice for adults with life limiting illnesses. Demonstrate advanced communication skills and professionalism in all interactions with patients and those close to them, carers and other professionals in order to promote and maintain Hospiscare values. Contribute to the daily clinical leadership of junior staff within the community team to ensure team effectiveness, cover and cohesion. Deliver education and learning, both internally and externally, for all those involved in palliative/end of life care, to ensure evidence based practice. Attend and contribute to multi-disciplinary, complex care and Gold Standards Framework (GSF) or End of Life meetings to promote best practice. Contribute to Hospiscares clinical governance and audit process in order to support continuing quality improvement and learning. Assess and identify complex bereavement and effectively communicate with the Supportive Care team to enable a seamless handover into Hospiscares Bereavement Care Services. Infection Prevention and Control Maintaining a safe environment for patients, visitors and employees is everyones responsibility. All staff are required to adhere to Hospiscares Infection Prevention and Control Policy and make every effort to maintain high standards of infection prevention and control at all times. This includes ensuring personal and team compliance with all relevant policies and procedures, and acting upon or reporting any identified risks. Disclosure and Barring Service This role requires a Disclosure and Barring Service (DBS) Enhanced level check with Adults and Children Barred Lists. 3.2 Key Contacts Internal: CCTL and Community teams Head of Community and Supportive Care Services Ward Manager and IPU team Medical team Supportive Care Services Clinical Governance Clinical Administration Learning & Development team External: Patients and those close to them Royal Devon University Healthcare NHS Foundation Trust NHS Community Services General Practitioners Residential and Nursing Homes Social and Domiciliary Care Workers Providers of out-of-hours services 3.3 Health & Safety Ensure that Health and Safety guidelines and fire regulations are strictly adhered to Comply with safe working practices as defined by Hospiscare Complete online training as and when required Take reasonable care for your own health and safety and that of others who may be affected by acts or omissions at work Report any accidents, incidents or near misses as soon as reasonably practicable Manage own work life balance and general wellbeing, including any relevant pressures in respect of lone working, travel, difficult environments and challenging situations 3.4 General Be aware of and adhere to Hospiscare policies and procedures at all times Take part in progress/performance reviews throughout the year Cooperate with other Hospiscare departments Attend training courses and complete online training modules as required to meet the requirements of the post Take responsibility for own personal development, seeking out opportunities to learn new skills Undertake any other duties as requested by management which are reasonably deemed to be within the scope of the role 3.5 Other Apply the Hospiscare values and behaviours to every aspect of the role at all times Promote and maintain the brand standards of Hospiscare Person Specification Experience Essential Substantial experience of working within a palliative care/end of life environment Significant experience of effective clinical governance, audit and standard setting Desirable Experience of policy and/or standards development Experience of multi-agency partnership working in order to deliver service improvements Experience of coaching/mentoring and of facilitating clinical supervision Experience of working in the community setting Knowledge Essential Detailed understanding of the complexities of working with individuals at times of distress and conflict Understanding of key issues relating to End of Life Care including policy developments Detailed understanding of theoretical nursing models and of their impact on delivery of care Skills Essential Developed ability to act as an expert practitioner Developed ability to manage a caseload effectively, including discharge planning Highly developed communication and interpersonal skills Developed ability to demonstrate knowledge and expertise through formal/informal teaching and educational programmes Developed ability to manage challenging circumstances effectively, to understand and disseminate multifaceted information Developed IT skills Personal attributes Essential Ability to lead and work as part of a team, prioritise workload and manage time effectively Ability to work autonomously, problem solve and act on own initiative Flexible and adaptable with the ability to respond positively in a rapidly changing environment Commitment to continuing professional development Awareness of Equality, Diversity and Inclusion in all aspects of work Additional requirements Essential Able and willing to contribute to the 7 days/week specialist palliative care service Able to travel and work throughout the area covered by Hospiscare Able to fulfil physical and manual handling aspects of the role Desirable Car owner and driver Qualifications Essential Registered Nurse with current Nursing and Midwifery Council registration Diploma in Palliative Care or diploma level qualification in associated field. Evidence of ongoing professional development. Desirable Advanced Communication Skills training Teaching and mentorship/supervision qualification Person Specification Experience Essential Substantial experience of working within a palliative care/end of life environment Significant experience of effective clinical governance, audit and standard setting Desirable Experience of policy and/or standards development Experience of multi-agency partnership working in order to deliver service improvements Experience of coaching/mentoring and of facilitating clinical supervision Experience of working in the community setting Knowledge Essential Detailed understanding of the complexities of working with individuals at times of distress and conflict Understanding of key issues relating to End of Life Care including policy developments Detailed understanding of theoretical nursing models and of their impact on delivery of care Skills Essential Developed ability to act as an expert practitioner Developed ability to manage a caseload effectively, including discharge planning Highly developed communication and interpersonal skills Developed ability to demonstrate knowledge and expertise through formal/informal teaching and educational programmes Developed ability to manage challenging circumstances effectively, to understand and disseminate multifaceted information Developed IT skills Personal attributes Essential Ability to lead and work as part of a team, prioritise workload and manage time effectively Ability to work autonomously, problem solve and act on own initiative Flexible and adaptable with the ability to respond positively in a rapidly changing environment Commitment to continuing professional development Awareness of Equality, Diversity and Inclusion in all aspects of work Additional requirements Essential Able and willing to contribute to the 7 days/week specialist palliative care service Able to travel and work throughout the area covered by Hospiscare Able to fulfil physical and manual handling aspects of the role Desirable Car owner and driver Qualifications Essential Registered Nurse with current Nursing and Midwifery Council registration Diploma in Palliative Care or diploma level qualification in associated field. Evidence of ongoing professional development. Desirable Advanced Communication Skills training Teaching and mentorship/supervision qualification 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 Hospiscare Address 1 Spreyton Yard Spreyton Devon EX17 5AG Employer's website https://www.hospiscare.co.uk (Opens in a new tab)