Clinical Nurse Specialist / Clinical Paramedic Specialist
As part of our model of care to ensure we have the right people, providing the right care in the right place and at the right time, an opportunity has arisen for a Clinical Nurse Specialist (CNS) or Clinical Paramedic Specialist (CPS) to work as part of our multi-disciplinary team within the Hospice Outreach Service in the community covering West Kent and East Sussex.
The Hospice Outreach Team is based in the Pembury site of Hospice in the Weald. The team provides the single point of access for all referrals into all services for Hospice in the Weald.
The Hospice Outreach Service provides specialist palliative advice and support to patients and their families. You will be part of a rota of clinicians covering our 7 day a week service offering home-based assessments in addition to telephone support.
Our team care for patients who have a life limiting illness and our focus is on individualised care, focusing on improving quality of life and achieving patient centred goals. We care for people with malignant and non-malignant long term conditions including heart failure, respiratory disease, frailty and neurological conditions. Our team works collaboratively with our external partners to provide seamless care within the patients journey; this enhances collaborative working and provides opportunities for shared learning.
Main duties of the job
To succeed in this role
We are looking for a motivated clinician with the ability to work as an autonomous practitioner whilst being part of a responsive and resilient team. You will possess advanced communication skills and be a supportive team player.
You will have proven community or in-patient palliative care experience at Band 6 or 7 or have equivalent level of experience of working in the following related areas: Paramedic, General Medicine, Neurology, Emergency Medicine, Frailty, Respiratory Care, Cardiology or Oncology. You will have advanced assessment skills and non-medical prescribingorbe willing to undertake as part of professional development.
Flexible working options may be available, offering a competitive salary, and you can transfer your NHS pension. Other benefits include free parking and a generous holiday allowance with the ability to buy and sell additional holiday. You can view more information about our range of benefits on our website.
If you would like to discuss your application or want further information, please contact Dea Haysler or Samara Romans, Hospice Outreach Managers. We welcome informal visits or telephone discussions with one of our senior clinicians.
About us
The Company
Hospice in the Weald was founded in 1980 as a small home-care service in West Kent, born out of local community effort to support people with life-limiting illnesses.
Over the decades it has grown from those humble beginnings into a vital palliative care charity serving West Kent and northern East Sussex, expanding its services to include an in-patient ward, day services, outreach and counselling support, all free of charge, as well as innovative new provisions such as childrens care and the Cottage Hospice at Five Ashes.
Today, more than 40 years on, Hospice in the Weald continues to provide compassionate, personalised care to patients and their loved ones, celebrating life and offering dignity at the end of life for thousands in the local community.
Job responsibilities
Youwill co-ordinate and deliver high quality care to patients with a terminalillness. Providing support and adviceto patients in their own homes, community hospitals and care/nursing homes .
You will strive to help us todeliver Hospice advice and support to more people who need it, you will provideclinical advice and interventional support to other professionals onpalliative care issues and play asignificant role in helping patients to achieve their personal goals and preferredplace of care.
Effectively and efficientlymanage patients, ensuring the right person is seeing the right patient in theright place at the right time.
Work as part of a team toachieve referral outcome measures as stated in the Hospice in the WealdBusiness Strategy.
Attendance at palliative care meetingsheld at GP practices.
Engage in and promote the use ofEnd of Life Care tools.
Participate in the provision of high-qualityinformation to patients and those important to them regarding their disease,treatment and services available; adapting this advice to suit individual needs.
Undertake the Advanced PhysicalAssessment of patients, ensuring a holistic assessment is completed so that,as an organisation, we can offer the best possible care for the patient andthose important to them
Ensuresymptom control and End of Life Care is delivered, documented and reviewed tothe highest standard.
Ensurethat the patient is reviewed at MDT or caseload review in accordance withNICE Guidance
Participate in the provision ofa 7 day a week service including weekends and Bank Holidays. Participate inagreed methods of duty planning.
Management and Leadership
Liaiseclosely with line manger on control, distribution, and management of clinicalworkload.
Be cognizantof the Hospice in the Wealds Three-Year Strategy and Operational BusinessPlan.
Work to maintain a high level of risk awareness aboutself and patient safety
Assist in the development of policies, procedures, and guidelines tocontinuously improve ways of working.
Support and empower our volunteers and morejunior members of the workforce
Communications and Teamwork
Advise and support the multi-disciplinary team toenable them to provide high quality care, planning ahead, giving advice onpain and symptom control, advanced care planning, social and psychologicalcare, communication and use of resources.
Provide a high standard of sensitive communication withpatients and those important to them, which maintains an individuals privacyand dignity.
Auditand Research
Inconsultation with managers, ensure all work is evidence based.
Contributeto performance and activity reports and analysis to Hospice in the Wealdusing ICT/information to produce intelligence for future service provision.
Develop,in conjunction with line management, mechanisms for auditing care within theservice and implement changing practice as a result.
Participatein or support, where appropriate, nursing and/or collaborative clinicalresearch in palliative care
Trainingand Development
Activelyplan and participate in the provision of supervision/reflective practice tocolleagues to support engaging development opportunities.
Undertake Hospice mandatory training and participate inwider training and development opportunities
Actas a role model and mentor to colleagues and to be an ambassador toneighbouring health and social care providers, providing informal educationand support to staff in their provision of palliative care.
Workcollaboratively with the multi-professional team to provide training to carehomes on End of Life Care as required.
Undertakeexternal training to enhance the CNS/ CPS role as appropriate
General
Maintain professionalismthrough adherence to recognized Codes (e.g. NMC, GMC, HPC, HCPC) and workwithin the boundaries of Hospice in the Weald policies
Maintain professionaldevelopment though the Hospice Annual Review process to continuously updateand improve knowledge and competencies
Engage in the use of informationand communication technology (ICT) in the area you are working and achievethe required level of competence.
Any other duties that may bereasonably requested.
Strive for excellence always.
Person Specification
Qualifications
* Registered Nurse (Level 1) or Registered Paramedic (HCPC)
* with 3 years post registration experience.
* Evidence of ongoing Professional Development.
* Principles of End of Life Care masters module.
* Ability to motivate and inspire others to achieve in a fast paced and challenging environment.
* Takes the initiative and responds flexibly to change.
* Delegates tasks appropriately.
* Ability to develop rapport with a wide range of people and to act with credibility, tact and diplomacy.
* High level of computer literacy skills including the use of mobile technology.
* Ability to interpret situations from different angles and identify opportunities for improvement.
* Forward thinking and proactive in decision making and in assessing risks and its mitigation.
* Applies personal organisation strategies to prioritise and effectively manage workload within a team environment.
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.
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