Clinical Nurse Specialist/Paramedic Specialist Palliative Care

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Clinical Nurse Specialist/Paramedic Specialist Palliative Care NHS AfC: Band 7 Main area Nursing Grade NHS AfC: Band 7 Contract Fixed term: 10 months (From April 2026) Hours Part time - 30 hours per week (On call 5-8 hrs and 7 day working) Job ref 333-G-CC-1509

Site St Pancras Hospital Town London Salary £56,276 - £63,176 Pro rata per annum incl. HCAS Salary period Yearly Closing 12/12/:59

CNWL (Central and North West London NHS Foundation Trust) has almost 8,000 staff providing integrated healthcare to a third of London's population, Milton Keynes and areas beyond. We involve service users, carers, the public, staff and partner organisations in the way that we are run.

Our catchment area spans diverse communities, with over 100 first languages spoken. It contains areas of great affluence as well as areas of much deprivation. We are committed to providing services that meet the needs of the people who use them, and we actively encourage involvement from local people who can help make a difference. We're proud of our diversity and we continue to undertake new initiatives to advance equality for LGBT+, BME and people with disabilities to promote good relations and understanding between our staff.

We are recognised locally, nationally and internationally for providing high quality, innovative healthcare. We aim to employ only the best people, and our experts are frequently called upon to contribute to national health strategy and policy, and many models of our care have been adapted for use in other countries.

We offer a generous relocation package (subject to eligibility assessment) and flexible working options, including bank assignments for most roles. For more information on these and other benefits of working for us, see our Benefits, Reward and Wellbeing page.

CNWL NHS Foundation Trust are committed to safeguarding all children and vulnerable adults and expect all staff and volunteers to share this commitment. We follow safe recruitment practices to protect children and vulnerable adults.

Job overview We are recruiting a Band 7 Clinical Nurse Specialist/Clinical Paramedic Specialist Palliative Care for our community palliative care team in South Camden and Islington. This is a Fixed Term post to cover Maternity leave. We are looking for someone who can appreciate their resilience and motivation to work in this area, and also can demonstrate compassion, self-knowledge, confidence, generosity, and courage.

Would you enjoy working in our thriving multi-disciplinary palliative care team where we, day to day work to achieve the best outcomes for the people we support?

Could you imagine yourself working in the heart of London? Are you ambitious to develop your palliative career and would you like to develop in this growing, well-renowned team with a long tradition of 'can do'? If yes, then please contact us to find out more.

Working in the community, you will work as an autonomous practitioner, as part of a team managing a caseload of palliative care patients with a variety of conditions, and often complex needs. This role will involve being part of a large team of nurses who provide on call cover for UCLH hospitals.

Here in Central London, the demand for palliative care is increasing at a faster pace than ever before and many more people are dying in their place of choice thanks to the work we do as a multi-professional team.

In your supporting statement, please clearly demonstrate and state clear interests and reasons of why you would like to work in Palliative Care.

Main duties of the job

• Act as an expert clinician for patients and families with complex palliative needs, taking a key worker role where appropriate.
• Independently manage a caseload of patients with complex needs, including receiving and making referrals.
• Assess referrals from various sources, establish priorities, determine needs, and initiate treatment plans, supporting junior clinicians as needed.
• Provide palliative care advice within general multidisciplinary teams, even for patients not currently under palliative care.
• Deliver skilled clinical interventions addressing quality of life, prognosis, and end-of-life decision-making within an ethical framework.
• Serve as an expert advisor on pain and symptom management, and collaborate with professionals to enhance their palliative care skills.
• Independently assess and support bereavement needs of informal carers, making appropriate referrals.
• Work autonomously in diverse community settings, considering local socio-economic and cultural factors.
• Lead responses in crisis situations, including family conflict, emergencies, and professional distress.
• Use in-depth knowledge of multidisciplinary roles and external agencies to ensure optimal referral and care pathways.

Working for our organisation As a service we provide palliative care to the patients of South Camden & Islington and UCLH. The community team is based at St Pancras Hospital, and we work as one team with the UCLH hospital team. The community team has evolved from having one consultant nurse and a medical consultant in the last 25 years to a multi professional team of nearly 30 staff, including CNSs, Consultant Nurse, Drs, OTs, SW, Physiotherapists and amazing administrative colleagues too.

We provide the space to care; access to a multi-professional team; we are committed to a happy and cohesive team; value personal and professional development; and aim to facilitate a risk-confident and supportive culture.

Camden, and Islington boroughs are the homes to diverse communities, as well as being the setting for many well-known London landmarks and facilities. These are just a few of the reasons we love working here.

Detailed job description and main responsibilities

• To be professionally and legally accountable for all work undertaken. To work within the Standards for Better Health and guidelines of the Palliative Care Team, CNWL and UCLH NHS Trusts, NMC Code of Conduct/HCPC at all times.
• To undertake specialist clinical assessment of clients with complex palliative care needs through subjective questioning, objective examination, and study of appropriate written material (e.g. clinical records) available.
• To prioritise factors involved in the patients and informal carers condition through advanced clinical reasoning based on knowledge of current professional opinion, patients prognosis and other physical, psychological, spiritual, ethical, social, and mental health records.
• To identify patients, their informal carers or children whom may be at risk and vulnerable. Promptly enact the process outlined in the policies for Care of Vulnerable Adults and Care of Vulnerable Children.

Person specification Experience

• Extensive post-registration experience in the relevant specialty
• Experience in case or ward management
• Experience teaching clinical staff, patients and families
• Demonstrated ability to initiate, evaluate, and sustain change management
• Experience caring for patients in their own homes

Qualifications

• Registered Nurse (RN) or Registered Paramedic
• Recognised teaching qualification
• Achieved or working towards a first degree

Skills and Knowledge

• Contemporary and relevant clinical knowledge and expertise
• Ability to work independently and as part of a team
• Basic computer literacy
• Strong negotiation skills with clinical professionals, patients, and families
• Effective workload prioritisation and time management
• Problem-solving skills and ability to take initiative
• Excellent verbal and written communication skills
• Ability to supervise and develop staff
• Experience working with integrated care pathways

Audit and Research

• Experience in audit, standard setting, and quality improvement
• Ability to incorporate research into practice and motivate others
• Experience involving service users in planning and delivery

Professional Requirements

• Evidence of ongoing professional development
• Maintenance of professional registration
• Commitment to the development of palliative and end-of-life care
• Understanding of equal opportunities

The successful applicant may have contact with patients or service users. As an NHS Trust we strongly encourage and support vaccination as this remains the best way to protect yourself, your family, your colleagues and of course patients and service users when working on our healthcare settings.

• Due to the high response levels we receive for some vacancies, we may expire any of them prior to the advertised closing date and advise you to submit your application as soon as possible.
• Applications from job seekers who require sponsorship to work in the UK are welcome and will be considered alongside all other applications. Before submitting your application and to avoid disappointment please check that you are eligible under the UKVI points based system.
• Our Agenda for Change employment contracts are subject to a contractual 13 week probationary period.
• If you are offered a job, information will be transferred into the national NHS Electronic Staff Records system.

Employer certification / accreditation badges You must have appropriate UK professional registration.
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