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Macmillan Advanced Clinical Nurse Specialist in Palliative Care

Northern Care Alliance NHS Foundation Trust
£50,952 to £57,349 a year pro rata
Closing date
30 Apr 2024

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Job Details

The post holder will take a lead role in the advanced clinical assessment and treatment of a diverse caseload of palliative and end of life care patients and their carers, who have highly complex needs. They will undertake clinical assessments and devise management plans and maintain records as an autonomous practitioner.

The post holder will provide expert clinical expertise supporting, mentoring, and guiding more inexperienced members of the clinical team. They will ensure that evidence-based practice is inherent in all aspects of care and treatment and ensure this knowledge is disseminated throughout the clinical area, Trust and externally as appropriate.

The post holder will be based primarily in Salford Royal Hospital but will be expected to work in both hospital and community settings on weekends as part of the enhanced 7-day service.

The Specialist Palliative care team at Salford Hospital is a dynamic, forward thinking team. We are a caring and supportive team and have a breadth of knowledge and skills within palliative and end of life care.

Home to the Manchester Centre for Clinical Neurosciences, Greater Manchester Trauma Hospital and the Geoffrey Jefferson Brain Research Centre, Salford is improving care for some of the sickest patients in the region, and delivers a range of acute, community and primary care services and specialist services to Greater Manchester and beyond.

Main duties of the job

  • Undertake a significant clinical caseload to an advanced professional standard using specialist knowledge from theoretical and practical experience.
  • Triage referrals either independently or with medical colleagues.
  • Work across organisational boundaries providing face to face on call cover to enhanced palliative care 7 day working.
  • Act as a senior clinical decision maker providing advice to the Clinical Nurse Specialists and ward teams in relation to complex situations.
  • Develop and maintain communication with people about difficult and complex situations.
  • Apply knowledge of advanced communication skills in order to effectively break bad news or convey uncertainty in a range of formats, written or verbal.
  • Develop the skills required to practice at an advanced level and to use an extended scope of practice beyond own profession (including prescribing and examination skills, advising re ethical issues).
  • Plan, deliver and evaluate interventions and/or treatments.
  • Provide Macmillan Cancer Support with an annual report to demonstrate advanced practice and support for patients, carers and staff and participate in service reviews to help drive improvement.

  • Please see Job description for more detailed duties.

    About us

    The Northern Care Alliance NHS Foundation Trust (NCA) provides hospital and integrated health and social care services to over one million people living across Greater Manchester. Our 20,000 colleagues care for people in hospital and in the community, working across Bury, Rochdale, Oldham and Salford, to save and improve lives.

    As a large NHS trust we are committed to enhancing the health of our local population by delivering consistently high standards of care and working closely with local authorities and key partners. We believe in our power and potential to make a difference and we're always looking for people who demonstrate our three core values - care, appreciate and inspire - to join our team.

    In return, we can offer you a job role with purpose and flexibility. The size and scale of the NCA means we can provide more challenge and opportunities so your career can always be moving in the right direction. By joining us you can also access a competitive benefits package, including, a fantastic annual leave allowance, flexible working opportunities and protected hours for health and wellbeing activities, helping you to achieve more personal downtime and a better work-life balance.

    We are currently in process of updating our values. For the latest information around our values and behaviours, please visit our careers website

    Job description

    Job responsibilities

    Please note an NMC PRN PIN is not a full NMC PIN and would not fulfil the essential criteria for this role.

    This vacancy is open to those who have a current NMC PIN to practice as an Registered Nurse or Midwife in the UK, or those who are currently enrolled on a course which means they expect to receive their full NMC PIN within the next 3 months.

    The NCA can no longer accept applications from International Nurses and Midwives who are yet to complete all competencies needed to receivea full NMC PIN to practice in the UK as we have paused our OSCE programme indefinitely. To learn more about how you can gain a full NMC PIN to be eligible to apply for our vacancies in the future, please see the NMC website:

    To read more information about the advertised role, and the main job duties/responsibilities please open the Job Description and Person Specification located under the supporting documents heading. You can also read more information about working at the Northern Care Alliance within the attached Candidate Information Pack or by visiting our careers website:

    We respect the value of difference. So, our aim is to employ people representative of the communities we serve. Regardless of age, disability, gender, marital status, trans status, pregnancy and maternity, race, sexual orientation, religion or belief, all are welcome.

    We continually review our recruitment processes to ensure they are supporting us achieving an inclusive and representative team.

    We recognise that many people find interviews daunting and the conventional interview approach, of unseen questions, often impacts performance on the day. We are therefore piloting sending interview questions, to candidates, in advance.

    This vacancy is within one of our pilot areas therefore if you are invited for interview you will receive your interview questions in advance of your interview date. Feedback on this process will also be requested to help our teams understand and evaluate your recruitment experience.

    Person Specification

    Knowledge, Skills, Experience


    • Extensive post registration experience of which there is evidence of clinical experience at band 7 or above, of managing a caseload of patients with complex palliative and EOL care needs.
    • Evidence of extensive expert professional/clinical knowledge within specialty supplemented by specialist clinical training and CPD.
    • Effective communicator, able to communicate complex and highly sensitive information.
    • Evidence of effective people management and leadership skills
    • Evidence of relevant involvement in meeting the Trust clinical governance objectives.
    • Evidence of involvement in the development of programmes of care, protocols and clinical audit.
    • Evidence of involvement in leading service development.
    • Highly developed effective communication/negotiation skills.
    • Excellent clinical reasoning/clinical decision making.
    • Evidence of involvement and leadership in teaching and mentoring learners.
    • Can demonstrate assertiveness, tact and diplomacy appropriately.
    • Computer literacy.



    • Current NMC registration first level nurse
    • Degree in Nursing
    • Relevant Post basic qualification
    • V300 Non-Medical Prescriber
    • Enhanced Clinical Skills module or equivalent
    • Evidence of master's degree level study


    • Management Qualification

    Employer details

    Employer name

    Northern Care Alliance NHS Foundation Trust


    Salford Royal Hospital

    Stott lane


    M6 8HD

    Any attachments will be accessible after you click to apply.



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