Job summary Contract: Full time, permanent (37.5hrs per week) Salary: £36,453.76 £43,896.54 pa depending on experience plus London allowance Location: Based at St Lukes Hospice and working across the geographical boundaries of NHS Brent & Harrow GP registered patients, HA3 0YG Closing Date: rolling basis As part of the requirements of the NWL ICB model of care, this service will be developed to provide support for patients and families 24 hours a day. Therefore, the post holder may be expected to work shift patterns including night shifts as part of the service development. We are looking for a dedicated and compassionate Registered Nurse to join our team. This role will involve providing professional telephone advice, assessing and coordinating urgent care packages, and delivering face-to-face crisis visits for patients in the community. You will also support and guide Healthcare Assistants to ensure high-quality care is provided in patients homes. Main duties of the job Provide professional telephone advice and triage patient calls appropriately. Process referrals and arrange urgent bridging care packages with Hospice at Home. Conduct home visits to assess patient needs, create care plans, and arrange equipment. Deliver direct patient care and support Healthcare Assistants in their roles. Collaborate with multidisciplinary teams (MDT) to ensure seamless care coordination. Maintain accurate patient records, updating care plans and registering patients on the Urgent Care Plan (UCP). Ensure the dignity and confidentiality of patients and families at all times. Participate in governance, quality audits, and continuous service improvement initiatives. Provide education and training to colleagues on end-of-life care best practices. About us St Lukes Hospice Caring for Harrow and Brent St Lukes Hospice cares for people approaching the end of their life in Harrow and Brent. We aim to give the people we care for the best possible quality of life, each and every day. Supporting local people and their families is at the heart of what we do focusing on what matters the most to them is at the centre of our care. The care we give is free of charge, available to all, and respects the cultures, religions, and beliefs in our richly diverse community. Our care is given with compassion and dignity and involves not just looking after the patient, but also includes supporting the people closest to them. We receive around 40% of our funding from the NHS and the rest is raised from the amazing generosity of the organisations and people who make our care possible. Our local community is a vital partner in our care, kindly supporting us through their donations and fundraising alongside the dedication of over 800 incredible volunteers who freely give us their time to support the best possible end-of-life care for local people. Date posted 10 March 2025 Pay scheme Other Salary Depending on experience London allowance Contract Permanent Working pattern Full-time, Part-time Reference number B0473-25-0000 Job locations Kenton Grange Kenton Road Harrow Middlesex HA3 0YG Job description Job responsibilities 1. Job Purpose and scope To be able to provide professional telephone advice To receive and process referrals. To work closely with H at home for arranging care packages for patients who require urgent bridging. To provide face to face visit in crisis Provide support and direction to Healthcare Assistants to ensure the delivery of a high-quality service to palliative care patients in their own homes. Be responsible for recording activities and maintaining accurate and complete patient notes The post holder will play a key role in the raising of clinical standards and quality for patients with life limiting illnesses and in the monitoring and improving standards of care. To be able to update care plan and register patient on UCP (urgent care planning) 2. Main Duties & Responsibilities Clinical Be confident and competent to manage telephone contacts and triage calls appropriately Be able to receive, register referrals and make a telephone contact or visit the patient. Visit patients at home to assess their needs, putting together packages of care, order equipment, using a risk assessed approach that are appropriate, flexible and patient focused. Liaise closely with H at home and other care agencies involved in the care of the patient encouraging effective and efficient use of resources (Social Services, Continuing Care Teams and Hospital Discharge Liaisons teams). Deliver direct care to patients and provide day-to-day clinical support to the Health Care Assistants and volunteers in their delivery of care to patients at home Liaise with the wider multidisciplinary team (MDT) involved in the individuals care to ensure the package of care is communicated to them. Liaise with the MDT when significant changes to this care package are required / implemented Work with the wider professionals to ensure the patients shared record is kept up-to-date and that key information is available in a timely way Work with the team to ensure clinical documentation and all care plans are reviewed and evaluated at regular intervals. Make additional visits to patients at home if requested to do so by the patient / family, another healthcare professional or at key stages of their care pathway that have been agreed. Respond to urgent requests for care ensuring the appropriate professional attends to deliver care and that needs are met within the required timeframe Provide specialist palliative telephone advice and support to patients, families and other health and social care professionals Be responsible for updating the icare patient data system regularly and manage patient information sensitively and confidentially. Ensure the dignity of patients and families is respected at all times Ensure confidentiality in the best interest of the patient is maintained at all times. Management and People Act as a role model and expert resource to the team, wider hospice services and teams / services in primary and acute care on the delivery of high quality end of life care Be accountable for your professional practice in accordance with the NMC Code. Work with volunteers to ensure they understand their role within the service providing them with support and advice as required Liaise with third party care providers and work with them to ensure care is delivered to our expected standards Ensure the service provided is in accordance with Hospice policies and procedures and key aspects of the pilot service. Promote and maintain positive working relationships with all members of the team to ensure positive outcomes with each patient. Be aware of the Health and Safety aspects of the service with particular reference to the implications of working in a patients home and lone worker issues. Governance, Quality and Service Improvement Implement clinical audits of records to measure and evaluate all aspects of care. Ensure sensitive data is stored and transferred securely. Promote effective evidence based clinical practice. Communicate and liaise effectively with hospice and community colleagues, promoting and consistently marketing the Hospice at Home Service and the Hospice philosophy. Liaise with external agencies regarding day-to-day issues in relation to packages of care and undertake spot inspections of notes and care delivery as a routine in every care package and provide feedback to the agencies involved raising concerns when required. Increase awareness of Hospice provision by representation of Hospice at Home Service at public events. Education and Professional Development Participate in the arrangement of induction programs for all new Hospice at Home staff. Work with the Hospice home care manager to facilitate Health Care Assistants with their professional development. Maintain an up-to-date knowledge of professional developments in Palliative Care and Community Care. Attend relevant courses, meetings and conferences ensuring own practice and development. To take responsibility of own professional and clinical growth and be prepared to attend mandatory training sessions requested at St. Lukes. Assist in the education of colleagues in end-of-life care issues Job description Job responsibilities 1. Job Purpose and scope To be able to provide professional telephone advice To receive and process referrals. To work closely with H at home for arranging care packages for patients who require urgent bridging. To provide face to face visit in crisis Provide support and direction to Healthcare Assistants to ensure the delivery of a high-quality service to palliative care patients in their own homes. Be responsible for recording activities and maintaining accurate and complete patient notes The post holder will play a key role in the raising of clinical standards and quality for patients with life limiting illnesses and in the monitoring and improving standards of care. To be able to update care plan and register patient on UCP (urgent care planning) 2. Main Duties & Responsibilities Clinical Be confident and competent to manage telephone contacts and triage calls appropriately Be able to receive, register referrals and make a telephone contact or visit the patient. Visit patients at home to assess their needs, putting together packages of care, order equipment, using a risk assessed approach that are appropriate, flexible and patient focused. Liaise closely with H at home and other care agencies involved in the care of the patient encouraging effective and efficient use of resources (Social Services, Continuing Care Teams and Hospital Discharge Liaisons teams). Deliver direct care to patients and provide day-to-day clinical support to the Health Care Assistants and volunteers in their delivery of care to patients at home Liaise with the wider multidisciplinary team (MDT) involved in the individuals care to ensure the package of care is communicated to them. Liaise with the MDT when significant changes to this care package are required / implemented Work with the wider professionals to ensure the patients shared record is kept up-to-date and that key information is available in a timely way Work with the team to ensure clinical documentation and all care plans are reviewed and evaluated at regular intervals. Make additional visits to patients at home if requested to do so by the patient / family, another healthcare professional or at key stages of their care pathway that have been agreed. Respond to urgent requests for care ensuring the appropriate professional attends to deliver care and that needs are met within the required timeframe Provide specialist palliative telephone advice and support to patients, families and other health and social care professionals Be responsible for updating the icare patient data system regularly and manage patient information sensitively and confidentially. Ensure the dignity of patients and families is respected at all times Ensure confidentiality in the best interest of the patient is maintained at all times. Management and People Act as a role model and expert resource to the team, wider hospice services and teams / services in primary and acute care on the delivery of high quality end of life care Be accountable for your professional practice in accordance with the NMC Code. Work with volunteers to ensure they understand their role within the service providing them with support and advice as required Liaise with third party care providers and work with them to ensure care is delivered to our expected standards Ensure the service provided is in accordance with Hospice policies and procedures and key aspects of the pilot service. Promote and maintain positive working relationships with all members of the team to ensure positive outcomes with each patient. Be aware of the Health and Safety aspects of the service with particular reference to the implications of working in a patients home and lone worker issues. Governance, Quality and Service Improvement Implement clinical audits of records to measure and evaluate all aspects of care. Ensure sensitive data is stored and transferred securely. Promote effective evidence based clinical practice. Communicate and liaise effectively with hospice and community colleagues, promoting and consistently marketing the Hospice at Home Service and the Hospice philosophy. Liaise with external agencies regarding day-to-day issues in relation to packages of care and undertake spot inspections of notes and care delivery as a routine in every care package and provide feedback to the agencies involved raising concerns when required. Increase awareness of Hospice provision by representation of Hospice at Home Service at public events. Education and Professional Development Participate in the arrangement of induction programs for all new Hospice at Home staff. Work with the Hospice home care manager to facilitate Health Care Assistants with their professional development. Maintain an up-to-date knowledge of professional developments in Palliative Care and Community Care. Attend relevant courses, meetings and conferences ensuring own practice and development. To take responsibility of own professional and clinical growth and be prepared to attend mandatory training sessions requested at St. Lukes. Assist in the education of colleagues in end-of-life care issues Person Specification Qualifications Essential Registered Nurse with NMC registration Post registration qualification in community nursing, oncology, palliative care or other relevant area of practice Mentorship qualification. Recent community experience at least 2 years Desirable Education to degree level or willingness to progress to this Community Nursing Qualification Advanced Assessment Skills Non-medical prescribing Verification of death Additional Requirements Essential Flexibility to meet the needs of the service. Car driver and owner Able to clearly communicate over the phone Has understanding of telephone advice lines and direct support required. A good team player Able to work in stressful situation Experience Essential Proven experience at a suitable level of seniority of managing complex cases in either the community or an institutional setting Ability to implement change Has been working in palliative care setting or cared for palliative patients. In-depth understanding of relevant care pathways Understanding of services in both primary and secondary care and the interface between these and social care Understanding of palliative and end of life care Desirable Experience of working with volunteers or community setting Knowledge of local and national agenda in relation to the role of the nurse and carer in end of life care Knowledge of the role of Care Quality Commission Skills and Attributes Essential In-depth understanding of relevant care pathways Understanding of services in both primary and secondary care and the interface between these and with social care Understanding of palliative and end of life care Desirable Ability to use and analyses data within the context of pilot service Person Specification Qualifications Essential Registered Nurse with NMC registration Post registration qualification in community nursing, oncology, palliative care or other relevant area of practice Mentorship qualification. Recent community experience at least 2 years Desirable Education to degree level or willingness to progress to this Community Nursing Qualification Advanced Assessment Skills Non-medical prescribing Verification of death Additional Requirements Essential Flexibility to meet the needs of the service. Car driver and owner Able to clearly communicate over the phone Has understanding of telephone advice lines and direct support required. A good team player Able to work in stressful situation Experience Essential Proven experience at a suitable level of seniority of managing complex cases in either the community or an institutional setting Ability to implement change Has been working in palliative care setting or cared for palliative patients. In-depth understanding of relevant care pathways Understanding of services in both primary and secondary care and the interface between these and social care Understanding of palliative and end of life care Desirable Experience of working with volunteers or community setting Knowledge of local and national agenda in relation to the role of the nurse and carer in end of life care Knowledge of the role of Care Quality Commission Skills and Attributes Essential In-depth understanding of relevant care pathways Understanding of services in both primary and secondary care and the interface between these and with social care Understanding of palliative and end of life care Desirable Ability to use and analyses data within the context of pilot service 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 Luke's Hospice Address Kenton Grange Kenton Road Harrow Middlesex HA3 0YG Employer's website https://www.stlukes-hospice.org/join-our-team/current-vacancies/ (Opens in a new tab)