Clinical Nurse Specialist/Paramedic Specialist Palliative Care
NHS AfC: Band 7
Main area Nursing Grade NHS AfC: Band 7 Contract Permanent Hours Full time – 37.5 hours per week (On call 5-8 hrs and 7 day working) Job ref 333‑G‑CC‑1569
Site St Pancras Hospital Town London Salary £58,133 - £65,261 per annum inc HCAS (pro rata if P/T) Salary period Yearly Closing 10/06/2026 23:59
Job overview
We are recruiting a Band 7 Clinical Nurse Specialist/Clinical Paramedic Specialist Palliative Care for our community palliative care team in South Camden and Islington. We are looking for someone who can appreciate resilience and motivation to work in this area and can demonstrate compassion, self‑knowledge, confidence, generosity, and courage. The role is an autonomous practitioner managing a caseload of palliative care patients with a variety of conditions, often complex needs, and part of a large team providing on‑call cover for UCL NHS Trust.
Main duties of the job
1. Act as an expert clinician for patients and families with complex palliative needs, taking a key worker role where appropriate.
2. Independently manage a caseload of patients with complex needs, including receiving and making referrals.
3. Assess referrals from various sources, establish priorities, determine needs, and initiate treatment plans, supporting junior clinicians as needed.
4. Provide palliative care advice within general multidisciplinary teams, even for patients not currently under palliative care.
5. Deliver skilled clinical interventions addressing quality of life, prognosis, and end‑of‑life decision‑making within an ethical framework.
6. Serve as an expert advisor on pain and symptom management, collaborating with professionals to enhance their palliative care skills.
7. Independently assess and support bereavement needs of informal carers, making appropriate referrals.
8. Work autonomously in diverse community settings, considering local socio‑economic and cultural factors.
9. Lead responses in crisis situations, including family conflict, emergencies, and professional distress.
10. Use in‑depth knowledge of multidisciplinary roles and external agencies to ensure optimal referral and care pathways.
Working for our organisation
The community team is based at St Pancras Hospital and works as one team with the UCLH hospital team. It consists of a multi‑professional team of nearly 30 staff, including Clinical Nurse Specialists, Clinical Paramedic Specialists, Consultant Nurses, doctors, occupational therapists, social workers, physiotherapists and administrative colleagues.
Detailed job description and main responsibilities
* To be professionally and legally accountable for all work undertaken. To work within the Standards for Better Health and guidelines of the Palliative Care Team, CNWL and UCLH NHS Trusts, NMC Code of Conduct/HCPC at all times.
* To undertake specialist clinical assessment of clients with complex palliative care needs through subjective questioning, objective examination, and study of appropriate written material (e.g. clinical records) available.
* To prioritise factors involved in the patients and informal carers condition through advanced clinical reasoning based on knowledge of current professional opinion, patients prognosis and other physical, psychological, spiritual, ethical, social, and mental health records.
* To identify patients, their informal carers or children whom may be at risk and vulnerable. Promptly enact the process outlined in the policies for Care of Vulnerable Adults and Care of Vulnerable Children.
Person specification
Experience
* Extensive post-registration experience in the relevant specialty
* Experience in case or ward management
* Experience teaching clinical staff, patients and families
* Demonstrated ability to initiate, evaluate, and sustain change management
* Experience caring for patients in their own homes
Qualifications
* Registered Nurse (RN) or Registered Paramedic
* Recognised teaching qualification
* Achieved or working towards a first degree
Skills and Knowledge
* Contemporary and relevant clinical knowledge and expertise
* Ability to work independently and as part of a team
* Basic computer literacy
* Strong negotiation skills with clinical professionals, patients, and families
* Effective workload prioritisation and time management
* Problem‑solving skills and ability to take initiative
* Excellent verbal and written communication skills
* Ability to supervise and develop staff
* Experience working with integrated care pathways
Audit and Research
* Experience in audit, standard setting, and quality improvement
* Ability to incorporate research into practice and motivate others
* Experience involving service users in planning and delivery
Professional Requirements
* Evidence of ongoing professional development
* Commitment to the development of palliative and end‑of‑life care
* Understanding of equal opportunities
Use of Artificial Intelligence (AI)
AI can be used as a support tool, not a replacement for the applicant’s own work. Applications must remain personal, accurate, and reflective of the candidate’s real experience. AI-generated content must not misrepresent skills, qualifications, or experience. Over reliance on AI-generated content is discouraged and may diminish the applicant's chances of success. We monitor applications for any behaviour that could create an unfair advantage, and we check all references carefully. You are likely to be tested on your experience at interview, so be honest and make sure all the information in your application is correct. Please note that the use of Artificial Intelligence (AI) is prohibited during the interview process.
Application information
* Due to the high response levels we receive for some vacancies, we may expire any of them prior to the advertised closing date and advise you to submit your application as soon as possible.
* Applications from job seekers who require sponsorship to work in the UK are welcomed and will be considered alongside all other applications. Before submitting your application and to avoid disappointment please check that you are eligible under the UKVI points based system.
* Our Agenda for Change employment contracts are subject to a contractual 13 week probationary period.
* If you are offered a job, information will be transferred into the national NHS Electronic Staff Records system.
Employer certification / accreditation badges
You must have appropriate UK professional registration. This post is subject to the Rehabilitation of Offenders Act 1974 (Exceptions) Order 1975 (Amendment) (England and Wales) Order 2020 and it will be necessary for a submission for Disclosure to be made to the Disclosure and Barring Service.
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