Clinical Nurse Specialist / Clinical Paramedic Specialist
Please note This position may be filled prior to the advertised closing date, as we will be reviewing and interviewing applications on a rolling basis. We strongly encourage early submission of applications.
Jersey Hospice Care is looking for Clinical Nurse Specialist (CNS) - Clinical Paramedic Specialist (CPS) to join our Specialist Palliative Care team on a permanent, full-time basis.
The postholder will be based at Jersey Hospice Care and will play a pivotal role within Jersey Hospice Cares (JHC) progressive and patient‑centred framework, actively contributing to a dynamic team dedicated to delivering exceptional specialist palliative care across the Island. As a key member of our service, you will bring specialist knowledge, skills, and a passion for excellence to help drive forward JHC's clinical aims and objectives.
This is an exciting opportunity for someone who is self‑motivated and confident working autonomously. The successful post‑holder will manage their own caseload with agility and innovation, responding proactively to evolving situations and ensuring the highest level of compassionate, expert care.
Main duties of the job
The Specialist Palliative Care Team (SPCT) is a vibrant, Island‑wide network that proudly connects hospice, community, and hospital care into one seamless circle of support. United by compassion and expertise, the team partners with healthcare professionals across every corner of the Island to ensure that patients and their families receive truly exceptional guidance, comfort, and specialist care wherever and whenever they need it most.
While core hours are 9:00am to 5:00pm, the role invites flexibility to respond to the evolving needs of our community. The postholder will also contribute via an on‑call rota, to our vital out‑of‑hours Specialist telephone on‑call service, offering specialist clinical advice to other healthcare professionals and expert support during evenings, weekends, and Bank and Public Holidays.
The SPCT collaborative, multidisciplinary spirit is the heartbeat of the service. Together, the team brings specialist clinical skills, empathy, and creativity to deliver complex symptom management and deeply holistic care. Every interaction, every conversation, and every shared decision is guided by a commitment to helping patients live with the greatest comfort, dignity, and quality of life possible. This is more than a role; it is an opportunity to be part of an inspiring team that is leading specialist palliative care across the Island.
About us
Jersey Hospice Care (JHC) is an independent charity which provides palliative care services within the community and the hospital, as well as through the King Centre and In‑Patient Unit facilities. All services benefit from a well‑resourced multi‑professional team with skills and expertise in palliative and end‑of‑life care. These services are provided at no cost to the patient or their family.
Job responsibilities
1. Clinical Practice
Deliver exceptional, personalised palliative care using specialist clinical judgement to assess, plan, implement, and evaluate care for patients with complex needs and their families.
The postholder will work in close collaboration with the Living Well Team, providing specialist palliative care expertise to support them in managing complex clinical situations and enhancing the quality and safety of care across community and clinic settings. They will offer specialist assessment, decision‑making, and symptom‑management input, enabling the Living Well Team to continue delivering high‑quality generalist support while ensuring patients and families receive timely access to specialist‑level intervention when needed.
Work collaboratively across the Island, building strong relationships with the multidisciplinary teams at JHC, JGH, GPs, Family Nursing and all other healthcare providers.
Actively participate in MDT meetings and ward rounds across hospital, hospice, and community settings, helping shape shared clinical decisions.
Working autonomously, manage and prioritise caseloads and referrals confidently, using EMIS and MAXIMS to ensure smooth and effective service delivery.
Champion safe and effective medicines management, working in close partnership with the Specialist Palliative and End‑of‑Life Care Pharmacist, and exercise responsibilities as an independent prescriber, ensuring the safe initiation, review, and optimisation of medicines in line with professional standards and patient‑centred best practice.
Ensure excellence in clinical documentation, monitoring standards and driving improvements in record‑keeping across the service.
Provide expert support in complex or crisis situations, using advanced communication and de‑escalation skills to guide patients, families, and colleagues.
Promote and embed the Gold Standards Framework across all care settings to raise the quality and consistency of palliative and end‑of‑life care.
Act as a dedicated patient advocate, ensuring every individual’s voice and preferences are central to care decisions.
Engage in reflective practice and clinical supervision, supporting your own wellbeing and contributing to a positive, resilient team culture.
Maintain accurate, confidential, and contemporaneous records in line with Data Protection legislation, professional standards and organisational policies.
Work within a commissioned service, holding responsibility for key performance indicators (KPIs) and contributing to the delivery of the local End‑of‑Life (EOL) Care Strategy, including active involvement in Learning from Deaths processes. They will ensure job plans support high‑quality community practice and use patient and family feedback to drive continual service improvement.
Promote and facilitate holistic, person‑centred support by recognising and responding to the spiritual needs of patients and those important to them.
2. Professional Leadership and Management
Maintain active registration with the NMC or HCPC, confidently meeting revalidation requirements and demonstrating a commitment to ongoing professional growth.
Register with, and maintain full compliance with, the Jersey Care Commission's local registration requirements for your profession, actively participate in JCC inspections, and meet all professional obligations to maintain registration.
Work in alignment with professional standards and JHC policies, ensuring care is safe, ethical, and delivered with integrity at all times.
Take ownership of your clinical practice, embracing professional accountability and consistently striving for excellence.
Engage fully in team meetings, performance reviews, and wellbeing initiatives, contributing to a supportive, reflective, and high‑performing team culture.
Build and nurture strong relationships with a wide range of internal and external stakeholders, helping to strengthen collaboration across the Island.
Champion a positive, professional culture, promoting wellbeing, mutual respect, and a can‑do approach in every interaction.
3. Clinical Audit and Service Development
Drive continuous improvement by contributing to research, audit, and quality initiatives, and encouraging team‑wide engagement.
Proactively identify and assess risks using validated tools, updating the SPCT risk register, and escalating concerns in line with professional codes and organisational policies. Champion a safe working environment by maintaining full awareness of Health & Safety responsibilities and adhering to all statutory and JHC procedures.
Ensure competence and confidence in the safe use of clinical equipment, keeping training up to date and maintaining accurate validation records.
Use all equipment safely and according to guidelines, promptly reporting faults or issues when identified.
Promote a culture of openness and learning by ensuring timely incident reporting and completion of action plans.
Apply critical analysis to evaluate research and evidence, helping shape and advance best practice.
Recognise when audits are needed and support initiatives that enhance palliative and end‑of‑life care for patients and their loved ones.
Actively contribute to JHC's Clinical Governance framework, taking part in relevant meetings and shared decision‑making processes.
Uphold professional standards by complying with all policies, guidelines, and codes of practice.
Represent JHC with pride and professionalism, acting as an ambassador at external meetings and events.
4. Education and Training
Support and inspire new team members by contributing to staff orientation, induction, student teaching, and mentoring of new colleagues.
Champion lifelong learning, promoting a culture of continual growth and excellence in clinical practice.
Act as a positive role model, demonstrating professionalism and compassion to colleagues, new staff, volunteers, and visitors.
Share learning widely, providing verbal or written feedback to colleagues after attending study days, training, or educational events.
Maintain and develop specialist expertise in palliative care, including complex symptom management, communication, and teaching skills.
Stay current with evolving clinical skills, contributing to service improvements and embracing change where appropriate.
Collaborate closely with the Education Team, helping deliver formal education and clinical training to staff across the Island's healthcare system.
Provide expert bedside teaching, supporting clinical teams with end‑of‑life care issues including syringe pumps, anticipatory prescribing, device use, and EOLC medications.
Educate patients, relatives, and carers, empowering them with knowledge about their condition, treatment options, and self‑care strategies.
Complete all mandatory training, ensuring compliance with JHC standards and professional requirements.
Person Specification
Technical Abilities
* You’ll be comfortable with
* Using everyday IT applications like Word, Excel, Outlook, and PowerPoint.
* Driving and holding a clean, current licence.
* Working with electronic patient record systems such as EMIS.
* Experience using electronic rostering systems would be helpful.
Experience
* It would really help if you already have
* Strong post‑qualification experience, ideally including work in a palliative care environment.
* Solid knowledge of symptom management and palliative/end‑of‑life care emergencies.
* Experience offering informal teaching or sharing knowledge with colleagues.
* An understanding of audit, benchmarking, and how these support service improvement.
* Awareness of the professional and political issues shaping today's healthcare landscape.
* A clear understanding of clinical governance.
* You don't need these to apply, but they're definitely a bonus.
* Palliative care experience specifically in a hospital setting.
* Awareness of commissioned healthcare standards.
* Experience or insight into working within the charitable sector.
* Experience teaching in a formal setting.
* Experience leading change following clinical audit findings.
Qualifications
* We're looking for someone who brings
* A 1st level Registered Nurse qualification with current NMC registration or HCPC registered Paramedics with equivalent experience are very welcome too.
* A degree in a Health or Social Care related field.
* A palliative care qualification or award.
* Evidence that you're working towards a postgraduate palliative care qualification.
* A genuine commitment to completing an independent prescribing qualification.
* Advanced Communication Skills training. Registered Paramedics with equivalent experience are very welcome too - related field - medical prescribing qualification.
* It would be great (but not essential) if you also have
* Master's level or equivalent modules in palliative care.
* A mentorship or teaching qualification.
Personal Attributes
* Were hoping to welcome someone who is
* Confident, dynamic, and comfortable communicating with a wide range of people.
* Able to represent the service in a warm, professional, and positive way.
* Flexible and adaptable in how you approach your work and working pattern.
* A naturally motivated and enthusiastic team player.
* Creative, forward thinking, and able to inspire others.
* Reliable and willing to work outside standard hours when the service needs it.
* Passionate about ongoing learning and development.
* Skilled in communicating sensitively with people facing life‑limiting conditions.
* Able to deliver difficult or sensitive information with compassion.
* Good at building strong relationships with colleagues across different teams.
* Comfortable writing clearly and presenting information in a logical way.
* Able to work independently, stay calm under pressure, and adapt when needed.
* Confident in problem solving and negotiating solutions. thinking, and able to inspire others. limiting conditions. solving and negotiating solutions.
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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