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Free staff parking
Flexible and compassionate workplace
Wellbeing and mental health support
Job Overview
This community‑based role involves travel across Exeter and the surrounding areas and participating in a seven‑day service provision.
Job Title: Clinical Nurse Specialist (CNS)
Band: 6
Location: Community
Hours: As contracted, including on‑call
Team/Directorate: Community Cluster
Responsible To: Community Cluster Team Leader (CCTL)
Accountable To: Head of Community and Supportive Care Services
Main Responsibilities
* Deliver an excellent standard of evidence‑based specialist palliative nursing care and clinical advice.
* Promote dignity and a person‑centred approach to positively enhance the lives of patients in the community with complex life‑limiting illnesses.
* Provide advanced specialist palliative care by contributing highly experienced clinical judgement and knowledge in complex palliative and end‑of‑life care.
* Demonstrate advanced communication skills and professionalism in all interactions with patients, carers and other professionals.
* Contribute to the daily clinical leadership of junior staff within the community team to ensure team effectiveness, cover and cohesion.
* Deliver education and learning, both internally and externally, for all those involved in palliative/end‑of‑life care.
* Attend and contribute to multi‑disciplinary meetings, including the Gold Standard Framework (GSF) or End‑of‑Life meetings, to promote best practice.
* Contribute to Hospiscare’s clinical governance and audit process to support continuous quality improvement.
* Assess and identify complex bereavement needs and communicate effectively with the Supportive Care team to enable a seamless handover into Hospiscare’s Bereavement Care Services.
* Maintain a safe environment for patients, visitors and employees, adhering to the Infection Prevention and Control Policy and reporting any identified risks.
* Ensure compliance with the Disclosure and Barring Service (DBS) Enhanced level check for Adults and Children Barred Lists.
Person Specification
Knowledge
* Detailed understanding of the complexities of working with individuals at times of distress and conflict.
* Understanding of key issues relating to End of Life Care, including policy developments.
* Detailed understanding of theoretical nursing models and their impact on the delivery of care.
Skills
* Developed ability to act as an expert practitioner.
* Developed ability to manage a caseload effectively, including discharge planning.
* Highly developed communication and interpersonal skills.
* Developed ability to demonstrate knowledge and expertise through formal or informal teaching.
* Developed ability to manage challenging circumstances effectively and disseminate multifaceted information.
Personal attributes
* Ability to lead and work as part of a team, prioritise workload and manage time effectively.
* Ability to work autonomously, problem‑solve and act on own initiative.
* Flexible and adaptable with the ability to respond positively in a rapidly changing environment.
* Commitment to continuing professional development.
* Awareness of Equality, Diversity, and Inclusion in all aspects of work.
Additional requirements
* Able and willing to contribute to the 7 days / week specialist palliative care service.
* Able to travel and work throughout the area covered by Hospiscare.
* Able to fulfil physical and manual handling aspects of the role.
* Car owner and driver.
Qualifications
* Registered Nurse with current Nursing and Midwifery Council registration.
* Diploma in Palliative Care or a diploma‑level qualification in an associated field.
* Evidence of ongoing professional development.
* Advanced communication skills training.
* Teaching and mentorship/supervision qualification.
Experience
* Substantial experience working within a palliative care / end‑of‑life environment.
* Significant experience of effective clinical governance, audit and standard setting.
* Experience of policy and/or standards development.
* Experience of multi‑agency partnership working to deliver service improvements.
* Experience of coaching / mentoring and of facilitating clinical supervision.
* Experience of working in the community setting.
Disclosure and Barring Service Check
This post is subject to the Rehabilitation of Offenders Act (Exceptions Order) 1975 and requires a Disclosure and Barring Service check to be made to check for any previous criminal convictions.
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