Palliative Care RGN (SMH B6) - SMH Hospice at Home
We are launching a new 24/7 Hospice at Home service and are recruiting a Registered Nurse to join our expanding team at St. Michaels Hospice. This specialist role provides compassionate, expert care to patients in the last weeks and days of life within our community.
The service visits patients in their homes who meet our criteria, and offers flexible working options, including part-time arrangements. This is an ideal opportunity for nurses wishing to specialise in palliative and end-of-life care, or for those with existing experience in this area. Community experience is advantageous.
Applicants must be NMC-registered with an active PIN, have excellent communication skills, empathy, and the ability to work both independently and within a multi-disciplinary team. Responsibilities include assessing patient needs, planning and delivering high-quality care, and advocating for the best possible outcomes, while demonstrating clinical judgement and effective workload management.
The role involves shift work, including long days and nights (07:3020:00 / 19:3008:00), with some flexibility for night-only preferences. A full UK driving licence and access to a vehicle are essential due to travel across the hospice catchment area.
Main duties of the job
Working collaboratively with the wider multi-disciplinary team, youll assess, plan, and provide holistic care that meets the physical, emotional, and spiritual needs of patients. Youll also play a key role in contributing to service improvement and promoting best practice in end-of-life care.
Key responsibilities:
* Deliver personalised palliative care and symptom management at home, visiting patients 24/7.
* Support the SMH Living Well Service, including MND and long-term neurological conditions.
* Maintain high standards of care, communication, and record-keeping.
* Collaborate with healthcare professionals, patients, families, and carers to ensure a seamless, compassionate service.
St. Michaels Hospice is committed to safeguarding and promoting the welfare of vulnerable adults, children and young people. All staff are expected to share this commitment. Successful candidates will be required to undergo relevant background checks, including a DBS check and provide satisfactory reference before starting the role.
About us
St. Michaels Hospice is a registered charity providing specialist palliative and end of life care services since 1992, for the people of North Hampshire. We are dedicated to providing care to people throughout North Hampshire who are affected by life limiting illness to attain the highest possible quality of life by providing a choice of specialist care and support.
As a charity, we depend on the kindness and support of our local community to continue offering our services free of charge. This care is made possible by supporters donating, taking part in fundraising events and activities, playing our lottery, shopping in our retail outlets, leaving gifts in their Wills or giving freely of their time to volunteer.
We offer attractive benefits, including, free onsite parking, life assurance, 27 days annual leave, with service increments, plus bank holidays, and an extensive health and wellbeing plan and contributory pension.
Job responsibilities
The Hospice at Home Team provide botha planned and reactive service to those deemed to be in their final weeks oflife requiring specialist palliative care advice and support.
The Hospice at Home Nursing team specialisein providing palliative care and support to patients at the End of Life. The H@Hspecialists nurses provide clinical assessments, advice on symptom managementat end of life and provide clinical interventions to enable the patient toremain at home.
The team are supported by thewider multi-professional team within St. Michaels Hospice.
The service is supplementary to,and works alongside, other health care services within North Hampshire.
You will be responsible for theassessment of the persons care needs. You will develop, implement and evaluatecare plans in conjunction with patients, relatives and other professionalsensuring individual physical and psychological needs are met.
Responsibilities
Proactivelyassess, plan, implement and evaluate patients based on an agreed plan of care,that supports quality and timely care, in line with their needs
Createand maintain good relationships internally with the wider community palliativecare team as well as other community health and social care providers.
Providereactive work to the need of the workload coming in per day, and prioritiseappropriately
Mentor,support and supervise the work of junior colleagues, unqualified staff,students, and volunteers
Actively enable the education anddevelopment of professionals involved in the care of palliative service users.
Clinical
Job description
Job responsibilities
The Hospice at Home Team provide botha planned and reactive service to those deemed to be in their final weeks oflife requiring specialist palliative care advice and support.
The Hospice at Home Nursing team specialisein providing palliative care and support to patients at the End of Life. The H@Hspecialists nurses provide clinical assessments, advice on symptom managementat end of life and provide clinical interventions to enable the patient toremain at home.
The team are supported by thewider multi-professional team within St. Michaels Hospice.
The service is supplementary to,and works alongside, other health care services within North Hampshire.
You will be responsible for theassessment of the persons care needs. You will develop, implement and evaluatecare plans in conjunction with patients, relatives and other professionalsensuring individual physical and psychological needs are met.
Responsibilities
Proactivelyassess, plan, implement and evaluate patients based on an agreed plan of care,that supports quality and timely care, in line with their needs
Createand maintain good relationships internally with the wider community palliativecare team as well as other community health and social care providers.
Providereactive work to the need of the workload coming in per day, and prioritiseappropriately
Mentor,support and supervise the work of junior colleagues, unqualified staff,students, and volunteers
Actively enable the education anddevelopment of professionals involved in the care of palliative service users.
Clinical
To develop a high level ofclinical expertise in the field of palliative and end of life care
Develop the knowledge of initialassessment, history taking, physical examination and psychosocial functioningof patients in a holistic manner.
Develop skills to review andinterpret all information available utilising a systematic process of complexdiagnostic reasoning to make a working and differential diagnosis while underdirect supervision.
Develop and record a treatmentplan consistent with the outcome of assessment and most probable diagnosis andtaking into account patient wishes and preferences.
Assess patients and advisecolleagues regarding the treatment of appropriate reversible causes.
Recognise when patients areapproaching the last weeks / days of life and adjust care accordingly to meettheir needs and priorities.
Provide nursing skilled clinicalinterventions within the home/community setting
Proficient in verification ofdeath process
To be able to support and providecare for patients and their families at the time of death taking into accountany spiritual or cultural needs.
Support of clinical colleaguesand team members following a patients death or distressing situation.
Support equality and diversity.
Be able to plan and manage ownworkload / caseload in a flexible manner ensuring that service provision meetsthe needs of patients.
To be willing to undertakeadvanced practice accredited courses at masters level.
Participate in discussion duringmulti-professional meetings.
Provide clear and concisehandovers to colleagues to improve coherent care across the service
Review, evaluate and updatenursing care, ensuring accurate documentation and reporting in accordance withNMC guidelines and SMH policy
Apply empathetic communicationand approach discussions in a sensitive and dignified manner.
To liaise and develop effectiverelationships with external health care professionals and other agenciesensuring patient continuity across all care settings.
Attend and participate in teammeetings and clinical supervision.
Management
Manage allocated resourceseffectively. Ensure competency in theuse and function of equipment report malfunctions.
Manage time in an efficient andappropriate manner, showing the ability to triage, delegate and plan workaccordingly.
To report any feedback, concernsor complaints from patients, their relatives, or other advocate, to the TeamLead as appropriate.
To ensure team cohesion andspirit is maintained, through ongoing supportive relationships andconsideration of colleagues at all times.
Take opportunity to empower andlead junior colleagues to enhance their knowledge and build confidence.
To adhere to the lone workingpolicy in the community.
Management of student
Education
Show competence in supportingstudent nurses in Practice Assessor roles.
Contribute and participate inprofessional teaching sessions both internally and externally.
Maintain own clinical ability byensuring level of knowledge is based on current evidence-based research.
To maintain up-to-date clinicalexperience and knowledge and be able to provide evidence of this for nursingrevalidation.
Through SMH annual appraisal,encourage professional growth and identify areas for personal and professionaldevelopmentTo strengthen and developclinical skills across all care settings in conjunction with line manager.Take keen interest in serviceenhancement and improvement, taking ownness for improving the services.
Research and Audit
Toimplement findings of evidence-based practice
Participatein research and audit within the SMH environment as appropriate to the servicearea.
To havea basic awareness of current research and developments within palliative caresettings.
Professional
Tounderstand and work within relevant legislation and SMH philosophy, mission andvalues.
To bemindful of own professional behaviours, conduct and practice, when working aspart of a multi-disciplinary team.To beaccountable for own professional practice within the NMC Code of ConductToensure knowledge about patients is maintained in the strictest confidence, andis not divulged, except to professionals where it would materially exist withthe programme of care or protection of the individual.To maintain knowledge of patients is maintained in the strictest confidence, and is not divulged, except to professionals where it would materially exist with the programme of care or protection of the individual.
General Responsibilities
Work to maintain the values,vision and aims of St. Michaels Hospice.
Additional Duties In discussion with the line manager to undertakework, as and when required, in support of St. Michaels Hospice as anorganisation.
Public Relations To represent St. Michaels Hospice in the communityand public domain, including social media, appropriately.
Undertake all statutory andmandatory training, as required.To be conversant with and adhere to all St. Michaels Hospice Policiesand Procedures.Be responsible for upholding and promoting St. Michaels Hospicesafeguarding policies, ensuring the safety and well-being of all individuals,and promptly reporting any concerns or incidents in accordance with establishedprocedures.To be responsible for upholding and promoting St. Michaels Hospicesafeguarding policies, ensuring the safety and well-being of all individuals,and promptly reporting any concerns or incidents in accordance...To support localisation of the order of the job and to provide a continuation of the company bore out fation plan in dwelling. Which has... Keep this. Please note that the plan will be an official deal. Continue an application to attend no doubt re and train out the of track schedule or the next ownership that the job will be filled.
Take responsibility for own personal safety and of others whilst atwork. You will take appropriate action or report any concerns to address any health and safety issues that you or members of your team may be aware of.
This job description is an outline of the role andresponsibilities. From time to time, dueto the needs of the service, we may ask you to flexibly undertake other dutiesthat are consistent with your role and banding, including project work,internal job rotation and absence cover.
Person Specification
Qualifications
* - Relevant professional qualification and registration/RN
* - Masters degree/modules or working towards.
* - Degree/modules in leadership/management or willingness to undertake.
* - Evidence of continued professional development.
* - Physical Assessment qualification or willingness to undertake.
* - Independent nurse prescriber or willing to undertake.
* - Nurse Assessor/Mentor training
* Nurse Assessor/Mentor training
* Masters degree/modules or working towards.
* Degree/modules in leadership/management or willingness to undertake.
Experience
* -Substantial post registration experience and experience with supporting patients and relatives through the dying process
* -Demonstrable experience of working with or within an MDT setting
* -Experience of and teaching others
* - Advanced assessment and care planning skills.
* - Advanced communication skills.
* - Work independently as part of the wider nursing team.
* - Management and distribution of workload.
* - Excellent interpersonal skills with the ability to effectively communicate on the telephone and have IT experience.
* - Listening, negotiation and influencing skills.
* - Demonstrable computer literacy with knowledge of databases, Microsoft, use of email and aptitude to learn computer packages that are essential to the role.
* - Demonstrable knowledge and awareness of quality and governance
* Community experience
* - Ability to effectively manage a clinical service.
* - Proactive, influential, motivational leader.
* - A positive approach to all aspects of work including influencing, managing and supporting change.
* - Quality focused, 'customer care' ethos.
* - Resilient practitioner and decision maker.
* - Ability to foster positive relationships.
* - Diplomatic, honest, behaves with integrity.
* - Ability to work on own initiative, independently and as part of a team.
* - Confidence and self awareness of own limitations and professional boundaries.
* - Resilient practitioner with the ability to work under pressure from time to time.
* - Demonstrates commitment to St Michael's vision and values
Other requirements
* - Full UK driving license
* - Access to transport to travel within the community setting across the SMH catchment area.
* - Business use on vehicle insurance
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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