Go back Chelsea and Westminster Hospital NHS Foundation Trust
Palliative Care Clinical Nurse Specialist
The closing date is 22 July 2025
The post holder will work as part of the wider specialist palliative care team and be responsible for providing specialist/complex advice and support to all members of the multi-professional team throughout the Trust in the care of patients and those important to them, with a life limiting illness who are experiencing symptoms that require specialist palliative care.
The post holder will be supported by the wider SPC team during their induction and throughout their progression within the team. The team consists of two Consultants in Palliative Medicine, Band 7 CNS's, B6 Associate CNS and a B7 Occupational Therapist who works two days a week. The team works closely with the SPC team at our Chelsea and Westminster Fulham road site and regular cross site meetings occur. Self development in line with service provision is encouraged and supported via the PDR process. As a small team you will enjoy the benefits and comradery of a highly professional, compassionate and friendly team.
The team recognises the emotive nature of the role. Reflection and discussion regarding complex cases is encouraged and often occurs on an informal basis within the team or on a one to one basis with colleagues.Clinical supervision with a clinical psychologist is also provided for each individual team member on a six weekly basis.
Please see attached Job description for full outline of post
Main duties of the job
A Band 7 Palliative Care CNS role encompasses a vast skill set, including clinical reasoning and expertise, leadership qualities, education, audit, and service development.
Using advanced clinical judgement and skills you will be expected to provide advice and support for patients with a life limiting illness, recommending a concise and evidence based management plan.
Demonstrate ability and skills to carry out a comprehensive holistic needs assessment for each individual patient and those important to them.
Provide emotional, psychological and practical support to the individual, their family and /or those important to them.
Demonstrate advanced communication skills in all aspects of your role as a CNS supporting other members of the wider MDT who may require additional support.
Manage an agreed caseload using in-depth knowledge of the patient group, and disease trajectories, acting as the key worker and co-ordinator where appropriate.
Triage and manage referrals effectively from members of the multi-professional team in a clear and equitable way, to ensure that specialist palliative care is accessible according to need.
Actively participate as a member of the Specialist Palliative Care MDT and represent specialist palliative care services at cancer-site specific MDTs, and Ward based MDT's
Demonstrate an ability to autonomously and independently assess, advise and suggest a management plan at the weekends when lone working.
About us
Chelsea and Westminster Hospital NHS Foundation Trust is one of England's top-performing and safest trusts. We operate two main acute hospital sites--Chelsea and Westminster Hospital and West Middlesex University Hospital--along with award-winning clinics across North West London.
Our nearly 7,500 staff care for a diverse population of 1.5 million, providing full clinical services, including maternity, A&E, and children's services, plus specialist HIV and sexual health clinics. The Care Quality Commission rates us 'Good' in safety, effectiveness, care, and responsiveness, and 'Outstanding' in leadership and resource use.
We continually invest in our facilities, including a £30m expansion of critical care at Chelsea and Westminster and an £80m Ambulatory Diagnostic Centre at West Middlesex.
We welcome applications for flexible working arrangements, accommodating requests where possible to support our staff and patient needs.
The Trust is committed to equality and welcomes applications from all, regardless of background. Adjustments can be made for disabled candidates. Early application is advised as vacancies may close once sufficient applications are received. If you haven't heard from us within three weeks of the closing date, your application was likely unsuccessful. Employment is subject to a six-month probationary period.
Some roles may require weekend shifts at multiple sites.
Job responsibilities
Full job description attached
Key working relationships
Lead Palliative/End of Life Nurse
Cross site Palliative Care CNS Teams
Consultants in Palliative Medicine
Lead Cancer Nurse
Divisional Director of Nursing, Emergency and Integrated Care.
Consultants in Oncology
Acute Oncology CNS Service
Cancer site specific CNS
Care of Elderly teams
Frailty team
Respiratory team.
Ward Managers/Matrons.
Senior nurses and Service Managers
Community Palliative Care team
District Nursing Team
Local Hospices and GPs
Integrated Care Board (ICB)
Northwest London sector (NWL)
Person Specification
Qualifications and experience
* Minimum of two years' experience in a specialist palliative care team setting ie Hospital/Hospice/Community at Band 6 or 7
* Educated to first degree
* Qualification in Specialist Palliative care
* Advanced Communication Skills course
* Evidence of transferable skills within application form
* Advanced skills assessment qualification
* Demonstrate knowledge of audit, research and quality improvement
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.
Chelsea and Westminster Hospital NHS Foundation Trust
£51,883 to £58,544 a yearweekend working
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