Are you an experienced and compassionate Advanced Clinical Practitioner or currently training to become one looking to use your skills where they truly make a difference?
About the Role
Youll work across our two hospices Mount Edgcumbe and St Julias providing advanced clinical assessment, diagnosis, and management for patients with complex needs. Acting autonomously within your professional scope, you’ll play a key part in our 24/7 service, complementing the work of our doctors, nurses, and allied health professionals.
This is an exciting opportunity to combine expert clinical practice with compassionate, person-centred care and to help shape the future of advanced practice within hospice care in Cornwall.
About You
We love to hear from you if you are:
* Passionate about palliative and end-of-life care
* Experienced in caring for patients with life-limiting illnesses
* An independent prescriber with strong, autonomous clinical decision-making skills
* Committed to collaborative, holistic care alongside our multidisciplinary team
* Currently working as an ACP or training toward this role
Main duties of the job
To champion innovative practice within the field of palliative and end of life care developing the Advanced Clinical Practitioner role within hospice care. The post holder will work at an advanced practice level applying their extended knowledge and skills in the principles and practices of palliative end of life care to support patients with the most complex needs. The Advanced Clinical Practitioner will work across the clinical teams at Mount Edgecumbe Hospice and St Julias Hospice.
The Advanced Clinical Practitioner will join the existing medical team rota for the inpatient unit contributing to the twenty‑four hour service as part of the first on‑call tier with the hospice medical team that includes specialist doctors, resident doctors, senior hospice doctors, specialist palliative care trainees and doctors rotating through the hospice as part of their general practice training.
The Post Holder will be a key member of the Multidisciplinary team providing specialist palliative care to patients and families; supporting education, audit and research to influence the delivery of high‑quality care and identify innovative ways of working that improve and develop the service offered.
About us
Why Join Us
Our people are at the heart of everything we do. In return, we offer:
* The chance to make a genuine difference, every day
* A warm, supportive and values‑driven workplace
* Generous annual leave (35 days including bank holidays, rising with service)
* Contributory pension scheme and life assurance
* Non‑contributory medical cash plan (option to include family members)
* Employee Assistance Programme and enhanced sick pay
* Early Pay access
* Ongoing learning and professional development opportunities
Job responsibilities
The post holder will have responsibilities in four main areas of work:
Clinical Practice
Leadership, Consultancy and Management
Evidence-Based Practice and supporting research initiatives
Education and Development
Clinical Practice
Works as part of the Hospice Palliative Care Team, carrying out a high standard of holistic clinical assessment, determining and providing plans, treatment, interventions, advice or support as appropriate.
As an independent prescriber, prescribes medicines for patients in accordance with local policies, national standards and formularies relating to independent prescribing.
Undertakes medication reviews with patients and takes a proactive approach in ensuring patients understanding of their medication.
Participates fully as part of the 24‑hour team as 1st on call accountable to 2nd on call medical consultant to ensure effective coordination of care and appropriate and timely responses for patients.
When on call on Sat/Sun BH will complete a ward round to assess, reassess and review patients, instigating treatment for symptom control and psychological support.
Admits patients with reference to 2nd on call at weekends, out of hours as appropriate.
Provides a source of expertise to all health care practitioners, including undertaking joint assessments as required.
Identifies clinical issues and incidents within the specialty that may affect the quality of palliative care services, raising concerns with the Head or Clinical Services Director of Clinical Services or Lead Hospice Doctor or Medical consultant as appropriate to ensure the delivery of safe, effective services.
Liaises daily with the clinical team and ensures they are briefed on the changing needs of their palliative patients’ activity.
Works as part of the multidisciplinary team to support and identify patients who may require referral to protection services such as adult safeguarding support or deprivation of liberty assessment and referral.
Maintains clinical records in line with hospice and NMC guidance, Health and Care Professions Council standards.
Uses advanced clinical skills and judgment to diagnose, plan, implement and evaluate the needs for patients with complex palliative symptoms, anticipating problems and risks, and acting before crisis arises.
Non-Medical Prescribing
Duties and Responsibilities
Communication & Working Relationships
Maintains effective verbal and written communication with the clinical team and keeps staff informed of changes to prescribing interventions or treatment provided to service‑users. Following the RPS guidance and using the EPMA system, reports any changes to the nursing and medical teams and ensures information is communicated efficiently and effectively in relation to medication safety.
Planning and Organisation
* Aware of the current legislation and prescribing developments that may impact on the delivery of services to service‑users.
* Has a good knowledge of, and applies current hospice medicine controlled drug and non‑medical prescribing policies and associated standard operating procedures.
Responsibility for Patient Client Care, Treatment and Therapy
* Complies with the Nursing and Midwifery Council Professional Code of Conduct, Royal Pharmaceutical Society Code of Ethics, relevant legislation, procedures and policies.
* Attends and contributes effectively to relevant professional forums (minimum of 6 per year).
* Reviews and makes changes to prescribed medication, in collaboration with the service‑user whenever possible.
* Prescribes and changes medications as clinically appropriate within the scope of the independent practitioner’s clinical expertise.
Responsibility for Finance, Equipment and Other Resources
* Contributes to financial governance through knowledge and appropriate resource management of allocated prescribing budget for the service in collaboration with clinical leads and medical colleagues.
Responsibility for Supervision, Leadership and Management
* Develops strategies for continued professional development as a Non-Medical Prescriber, ensuring attendance to the Southwest NMP Forum quarterly meetings.
Information Resources and Administrative Duties
* Ensures accurate electronic record keeping and e-prescribing compliance as detailed in Hospice Medicines Management Policy.
Person Specification
Qualifications
* Current registration on Part 1 of NMC register or AHP HCPCX.
* 1st Degree in a healthcare related subject.
* Educated at Masters level in Advanced Clinical Practice (or working towards / willingness to undertake).
* Non-Medical Prescriber (NMP).
* Advanced Communication Skills Training and ability to confidently have complex or sensitive conversations.
* Able to demonstrate previous successful ability of working at advanced practice level.
* Proven track record in management of change.
* Demonstrable evidence of delivering formal and informal teaching.
* Evidence of ability to undertake clinical audit.
* Capable and skilled in working independently, able to plan and prioritise with advanced decision-making skills.
* Management of clinical issues related to Palliative Care.
* Previously worked within specialist palliative care setting or long term conditions.
* Excellent communication skills. Multi-agency communications. Multi-disciplinary communications.
* Comprehensive physical assessment, history taking, diagnostic and clinical decision-making skills.
* Applied pharmacology and evidence-based prescribing.
* Leadership and team working abilities.
* Motivational skills both for self and others.
* Effective IT skills, competence in Microsoft office programmes, including MS Teams.
* Critical evaluation skills.
* Clear understanding of clinical governance, specifically related to advanced practice.
* Awareness and understanding of the systems of palliative care delivery.
* Up to date knowledge of all aspects of Palliative Care.
* Ability to direct and coordinate programmes of care working collaboratively and autonomously.
* Enthusiastic team player.
* Commitment to equal opportunities.
* Ability to work flexibly.
* Ability to travel across the community to review patients in their homes, in hospital and care homes.
* Available to be on call and work flexibly over a 24/7/365 day per year service as services and patients needs dictate.
* Ability to manage time, self and own workload.
* Full clean UK Driving licence and access to vehicle for work purposes, business insurance required.
* Graduate/Post graduate qualifications in palliative care.
* Partnership working across sectors.
* Clinical leadership in a multi-professional service.
* Experience in care of the older person and/or Frailty.
* Experience in oncology and/or Long-Term Conditions.
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.
#J-18808-Ljbffr