Job Purpose: To work as a Clinical Nurse Specialist and core member of the Living Well Services Team to provide expert knowledge and skills to patients and their families/carers. To liaise with and provide expert support for health and social care professionals and arrange meetings as required to improve care and liaise/update. To deputise for the Living Well Services Lead, contribute towards strategic development of the service and to support and develop skills within the Living Well Services team. Main Responsibilities: Clinical To undertake detailed and specialist holistic assessment and analysis of the complex physical, psychological, social and information needs of patients with life limiting illness and their carers. To have up to date knowledge of the various resources available. To holistically plan, implement and review specialist palliative care therapeutic interventions of patients who are on the Living Well Services caseload. Proactively ensure all patients referred to the Living Well Service have Advanced Care Planning offered to them and start to undertake with patients as required, whilst liaising closely with the GP. To demonstrate expertise and a firm knowledge base on which to underpin clinical practice when dealing with patients/carers living with a life limiting illness. Provide clinical support, information, advice and psychological support to Living Well Service patients, their families and clinicians to avoid unnecessary hospital admissions/ risk of crises and maximise their quality of life. Provide expert knowledge for advice and support for healthcare professionals in the community and hospital settings to deliver excellence in palliative and end of life care e.g. GPs, DNs, Community and Hospital Specialist nurses and other AHP to devise care plans. To advise regarding symptom management and medication to patients with complex symptoms requiring specialist palliative care, in collaboration with primary healthcare provider. To discuss care plan options with the patient and their carer in depth, with sensitivity, highly specialist knowledge and expertise. Identify the needs of bereaved persons and refer to appropriate bereavement services To undertake medication reviews and administration of medications orally, via PEGs, nebulisers/ inhaled. To work with the MDT and take a lead role in the absence of a Physiotherapist/ Occupational Therapist where appropriate in Moving And Handling emergencies. To take a lead role in potential medical emergencies within the department, delegating tasks to the MDT and co-ordinating the care of the patient. To use advanced interpersonal and communication skills to communicate and receive specialist and sensitive information. This includes identifying barriers to effective communication and develop/implement strategies to overcome these. Ensure patients are appropriately informed to make care decisions by educating them and helping them to maximise their quality of life with a life limiting illness. To act as patient advocate where appropriate. To collaborate and enhance communication between external care services to promote the Living Well Service, provide a seamless service and improved patient experience. To take responsibility for own practice and proactive management of the services caseload, prioritising as required to respond to unpredictable clinical emergencies. With the team lead and multi-disciplinary team members develop and maintain up to date policies e.g. medicines management within the Living Well Services department Operational To deputise for the Living Well Services Lead as required in their absence. To support the Living Well Services Lead in the development and provision of the Service as guided by the hospices values and operational plan. To participate in the delivery of educational programs to colleagues as required, and to service users on a regular basis as part of the LWS program. To oversee the patient plan and ensure goals being met in a timely and appropriate manner To utilise professional judgement and work with the Living Well Services Lead to formulate, monitor and evaluate evidence-based standards and policies relating to specialist palliative care in the delivery of individualised patient care. To act as a role model to the Living Well Services team demonstrating high-quality clinical care and practice, whilst encouraging a culture of innovation. To manage members of the Living Well Services Team and feed back at 1:1s to Team Lead. This will include all elements of staff support e.g. one to ones. Actively identify and participate in audits and research to aid the development of the service To provide a high standard of professional conduct and nursing care at all times in accordance with the Nursing and Midwifery Council Code of Professional Practice, demonstrating leadership in the nursing care of patients within the service. To have respect for patient confidentiality, autonomy and need for privacy at all times. To acknowledge individual needs in spiritual, religious and cultural matters. Observe and maintain strict confidentiality with regards to any patient/family/staff records and information in line with the requirements of the Data Protection Act. Any data that is taken/shared as part of a phone call, is transported or transferred electronically must be undertaken with regard to the Charitys Information Governance and Information Security policies. Provide patients and their families /carers with information on standards they should expect from the team Participate in clinical supervision on a regular basis To participate in relevant emergency preparedness process for their team.