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Clinical Nurse Specialist

The Christie NHS Foundation Trust
£43,742 to £50,056 pro rota, per annum
Closing date
21 Sep 2023

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Band 7
Contract Type
Full Time
This is a new hybrid role for an experienced, highly motivated and enthusiastic Specialist Palliative Clinical Nurse Specialist to support the education and development of inpatient clinical teams to deliver high quality care to our patients who are palliative or in the last days of life. You will be joining an experienced team of Supportive and Palliative care nurses and will be part of an integrated multi-disciplined team.

The role is responsible for providing the highest standard of expert holistic care for patients and their families. Additionally, the postholder will provide professional leadership, advice, support and expert guidance in respect of the educational programmes relating to palliative care. This role is to champion approaches that positively impact on palliative care, end of life care and end of life experience, influencing & facilitating the development of best practice and education within the trust.

Main duties of the job

Applicants should have considerable, recent experience of providing palliative and or cancer care to patients in a senior nursing role at band 6 or above in either the community or hospital setting. The post holder will work clinically 3 days per week plus 2 days per week as a Practice Education Facilitator, enabling and empowering professionals to deliver best practice palliative and end of life care to adults at The Christie Hospital.

The post holder will be expected to provide clinical leadership within the speciality of palliative care in partnership with the senior clinical nurses and to aid the development of education and research relevant to the speciality. The successful applicant will also have a major role in the development of supportive and palliative care services ensuring this relates to the needs of patients.

About us

The Christie is one of Europe's leading cancer centres, treating over 60,000 patients a year. We are based in Manchester and serve a population of 3.2 million across Greater Manchester & Cheshire, but as a national specialist around 15% patients are referred to us from other parts of the country. We provide radiotherapy through one of the largest radiotherapy departments in the world chemotherapy on site and through 14 other hospitals highly specialist surgery for complex and rare cancer and a wide range of support and diagnostic services. We are also an international leader in research, with world first breakthroughs for over 100 years. We run one of the largest early clinical trial units in Europe with over 300 trials every year. Cancer research in Manchester, most of which is undertaken on the Christie site, has been officially ranked the best in the UK.

Job description

Job responsibilities


Training & Education
  • Be innovative and creative in identifying new learning opportunities for all staff, using a range of media.
  • Support new and existing supportive care staff through induction and ongoing development to gain and maintain skills and competence.
  • With the Lead nurses perform a detailed training analysis within supportive care which identifies key areas for development and training.
  • With the support of the Lead Nurses develop a competency-based training programme which accurately reflects the training needs analysis findings.
  • Regularly work alongside trained staff in practice to support ongoing training and development to gain and maintain skills and competence.
  • Support and lead the development of pre-registration nurses allocated to the department utilizing experienced trained qualified mentors in supportive and palliative care.
  • Maintain accurate data management in relation to educational programmes.
  • Support the development and maintenance of a positive learning environment conducive to meeting educational needs.
  • Maintain high clinical profile and facilitate the application of theory to practice.
  • Produce an annual report for the Division on the educational/training activities.
  • To plan, design and evaluate courses and events that will attract all professionals involved in the delivery and support of people and their families facing end of life.
  • To liaise and work collaboratively with other palliative care providers in the development of palliative care education programmes locally, regionally, and nationally.
  • Be aware of current research associated with supportive and palliative care practice and utilise same in ensuring evidence-based practice at local level.
  • Maintain up to date, high standards of palliative care skills and knowledge and maintain awareness of professional/national issues.
  • Provide evidenced based education, information and training for a range of disciplines both internally and externally to the organisation.
  • Disseminate best practice through presentation at regional, national and international palliative care/oncology conferences.

Clinical Responsibilities
  • Provide highly specialist, expert clinical knowledge and support to colleagues, patients and carers at the Trust and Network-wide.
  • Independently assess, implement, and evaluate patients with complex and intractable problems using holistic needs assessment.
  • Practice as a non-medical prescriber.
  • Independently deliver significant news to patients with complex psychological needs and support both patients and their carers.
  • Demonstrate advanced communication skills when dealing with difficult or challenging situations.
  • Manage clinical caseload, prioritising patient need across in-patient and out-patient settings to enable rapid response to referrals for urgent advice.
  • Lead multi-disciplinary discussions on current caseload within the Trust to ensure continuity and co-ordination of optimum patient care.
  • Establish and maintain effective communication with patients and patients and carers/relatives within the clinical setting using effective strategies to overcome barriers to communication.
  • Utilise and respond to sensitive information appropriately.
  • Work collaboratively with the multi professional team to ensure patients needs are met.
  • Maintain accurate legible and timely written/verbal/electronic reports which inform other members of the team, patients and their carers/relatives.
  • Act as a patient advocate in promoting and delivering the highest standard of nursing care.
  • Participate in the provision of out-of-hours specialist palliative care advice and 7 day working as per rota and operational policy.
  • Work collaboratively with other professionals and agencies across Greater Manchester to ensure patient needs are met, especially in relation to on-going supportive and palliative care needs and discharge arrangements.
  • To be flexible to the changes within the Supportive Care Team and within the organisation.
  • Maintain advanced communication skills.

Professional Responsibilities
  • Maintain own professional status and ensure that the NMC requirements for registration are met and adhered to.
  • Ensure all relevant nursing policies, procedures and guidelines are adhered to.
  • Participate in team and directorate meetings as required
  • Maintain a safe environment for yourself and others, taking reasonable care to avoid injury. Co-operate with the Trust to meet statutory requirements.
  • Provide statements regarding untoward incidents, as requested by the Senior Nurse
  • Ensure all staff attend Trust mandatory training annually
  • Maintain registration and nursing competencies, and comply with the NMC Code of Professional Conduct, and related documents.
  • Contribute to clinical governance and research & development initiatives
  • Support and contribute to the development of quality improvement strategies within the Supportive Care Team and contribute and effective use of physical and financial resources.

Person Specification



  • NMC Registered Nurse
  • Degree in Nursing/Healthcare related subject
  • Post registration qualification in palliative /oncology care
  • Post graduate teaching qualification (or working towards)
  • Non-Medical Prescribing


  • Management / leadership qualification
  • Masters level study
  • Clinical Skills level 6/7 module
  • Counselling qualification



  • Evidence of previous mentorship experience of pre and post registration learners
  • Demonstrated experience in developing practice education programmes in a health care setting
  • Experience in specialist palliative/oncology setting
  • Experience of audit/research


  • Successful implementation and evaluation of changes to practice



  • Advanced communication skills
  • Able to perform advanced clinical assessment skills
  • Leadership/management skills
  • Ability to produce high standard written and verbal reports
  • Ability to develop effective interpersonal relationship with colleagues across health and social care setting


  • Ability to work to deadlines
  • Evidence of effective team working across professional and organisational boundaries
  • Evidence of writing protocols/standards



  • Knowledge of professional and NHS issues, and policy relating to supportive, palliative and cancer care
  • Evidence of continuing professional development
  • Good understanding of research and audit



  • Ability to demonstrate the organsational values and behaviours
  • Committed to professional development
  • Confidence to adapt to an evolving and changing service



  • Flexible - able to work unsocial hours
  • Enthusiastic and motivated
  • Highly committed and motivated
  • Conscientious and hardworking with a high organisational ability
  • Able to work without supervision
  • Ability to remain calm under pressure

Employer details

Employer name

The Christie NHS FT


Supportive Care - E00266


M20 4BX

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