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Bank Macmillan Palliative Care Clinical Nurse Specialist

Dartford and Gravesham NHS Trust
£29.72 an hour per hour
Closing date
30 Nov 2023

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The post holder will be part of a team providing palliative care within the acute trust aiming to promote palliative and end of life care through comprehensive holistic assessments to facilitate the best quality of care for patients (and those they consider family) who are referred to the service taking part in the rotational 7-day service.

The post-holder will work as part of an integrated multidisciplinary team to maintain a caring, efficient and professional service. Communication is vital to this role with patients and their families and across the various teams and sites involved in the care of each patient to provide liaison, co-ordination and continuity.

The post holder will demonstrate an advanced level of knowledge, clinical skills, and competence.

Helping to facilitate optimum quality of life for patients with advanced progressive life limiting diseases will be achieved in collaboration with the Consultants, working in partnership with the wider multi-professional teams including the other site-specific CNS's.

Main duties of the job

The role supports hospital staff in the delivery of high-quality palliative and end of life care through the giving of information and advice, training and education.

The post-holder will be expected to work autonomously and flexibly in order to meet the rapidly changing demands placed upon the role demonstrating the ability to organise workload to efficiently incorporate the various role demands sharing and developing knowledge and skills in palliative care in relation to specific advanced progressive illness and care at the end of life

About us

We are committed to being an inclusive and diverse employer. We strive to employ people who reflect the communities we serve, and aim to create an inclusive culture where everyone can reach their full potential. Whatever your race, ethnicity, belief, generation, sexual orientation, gender or gender identity, disability or experience, you'll appreciate the opportunities we give you to work in an inclusive atmosphere. We welcome applications from people of diverse backgrounds, perspectives and experiences to build on the progress we've achieved to make our Trust diverse and the best place to work. We celebrate the diversity of thought, viewpoints and ideas that help us overcome challenges and embrace new possibilities. We have signed the Armed Forces Covenant Pledge and have a commitment to the Armed Forces Community.

If you are considering applying for a role, please be aware that as an NHS Employee you may have contact with vulnerable service users. We strongly encourage that all our staff are vaccinated against COVID-19 and are vaccinated annually against Flu, in order to protect the health and safety of our staff and patients. Your commitment will help us to put the safety and care of our patients first, as well as helping us to protect you and your colleagues.

Job description

Job responsibilities

To act as a role model and demonstrate expert knowledge and high standards of clinical practice supporting patients within all settings, fostering positive working relationships

As an autonomous practitioner, organise own work and mange own caseload and practice, identifying and maintaining supportive networks. Always work collaboratively with other key staff including other members of the team.

Ensure workload, activity and patient contacts are documented and accurately recorded on Infoflex (Cancer Patient Information System) to enable reports to be generated to provide caseload and activity data for Service Development planning.

To assist with the investigation, prompt response and timely resolution of complaints/comments.

Actively participates in service development initiatives as appropriate.

Person Specification



  • RGN - level 1
  • Relevant post-registration clinical courses or evidence of continuing professional development
  • Advanced Communication Skills or willingness to undertake.
  • Clinical Assessment Skills or working towards or willingness to undertake.
  • Non-medical prescribing or working towards or willingness to undertake.
  • Ability to practice within the NMC Code of Conduct


  • Relevant postgraduate qualification or Masters level study
  • Qualifications or knowledge of other life limiting illnesses
  • Qualification in clinical assessment skills
  • Nurse prescribing qualification



  • Minimum 5 years post registration at least 2 in the acute setting.
  • Experience working in palliative care
  • Significant experience of productive multi and inter-disciplinary working


  • Experience working in palliative care in the acute sector
  • Teaching/ mentorship experience or experience in providing education to nursing and medical teams



  • Knowledge of symptom management and holistic needs assessments.
  • Awareness of end of life care tools and the use of anticipatory care planning to bring improvements to patient care
  • Ability to work effectively with a diverse range of colleagues and professionals in service delivery and demonstrate positive outcomes for patients


  • Ability to undertake clinical audit and recommend change to practice if appropriate
  • Comprehensive understanding of the role that specialist palliative care has in end of life care and ability to communicate this with clarity to patients and colleagues
  • Advanced knowledge of symptom management and ability to carry out holistic needs assessments



  • Excellent verbal, written and interpersonal skills.
  • Leadership skills
  • Able to communicate effectively at an advanced level with patients and families with complex care needs.
  • Computer skills and competence in working across several types of software


  • Experience of gathering and analysing detailed information.
  • Experience in presenting to multi-disciplinary groups.



  • Able to manage a clinical caseload
  • Ability to recognise and resolve conflict or manage difficult situations.


  • Development of clinical pathways

Employer details

Employer name

Dartford and Gravesham NHS Trust


Darent Valley Hospital

Darenth Wood Road



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