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CNS Palliative Care

Employer
Worcestershire Acute Hospitals NHS Trust
Location
Worcester
Salary
£43,742 to £50,056 a year
Closing date
27 May 2024

View more

Profession
Other Health Profession
Grade
Band 7
Hours
Part Time
Hospital Palliative care team.

CNS BAND 7 or Palliative care support nurse BAND 6

Depending on clinical experience

An exciting opportunity for a 12 month fixed term post or secondment to cover maternity leave

To work as a clinical nurse specialist or support nurse in palliative care across the accepted domains of the role as a clinician, educator, researcher and manager

To work as a member of a hospital based specialist palliative care team, as part of the wider primary and secondary multi-disciplinary teams and the independent sector to ensure a cohesive, holistic and research based approach to the management of palliative care patients.

The role will be innovative and encompass all aspects of the patient care pathway, acting and a nurse advisor to support patients and their carers with cancer or a life threatening illness, within a formal/informal setting.

Main duties of the job

Provide a specialist and holistic palliative care assessment of patients and their carers needs following referral, which realistically minimises physical symptoms and the social, financial, emotional and spiritual implications of the disease process.

In negotiation with the patient, their carers, and the wider multidisciplinary team, formulate a plan of care using specialist knowledge and skills dependent on the level of specialist intervention required.

Regular assessments are conducted for patient admissions to specialist palliative care level 2 bedded units. Admission rights to the palliative care inpatient unit are coordinated in liaison with a Consultant in Palliative Medicine.

Frequently elicit and analyse complex patient/carer/ family reaction, needs, dynamics occurring throughout the patient/carers journey. Instigate action to facilitate the development of a therapeutic relationship between the patient/carer and members of the MDT to enhance intra-family communication.

Constantly acts as a resource for information on specialist palliative care within the Worcestershire Acute Hospitals NHS Trust, disseminating evidence based knowledge and skills to clinical staff at levels.

Educates patients and their carers in the understanding of their illness, treatments and provides other sources of information, help and support.

About us

Our purpose is simple - Putting Patients First. We are looking for exceptional colleagues who can help us achieve this.

Worcestershire Acute Hospitals NHS Trust is a large acute and specialised hospital trust that provides a range of local acute services to the residents of Worcestershire and more specialised services to a larger population in Herefordshire and beyond.

The Trust operates hospital-based services from three sites in Kidderminster, Redditch and Worcester

Our workforce is over 7,000 strong, and our caring staff are recognised as providing good and outstanding patient-centred care. You could be one of them.

We are committed to recruiting the best people to work with us to achieve our Vision - working in partnership to provide the best healthcare for our communities, leading and supporting our teams to move 4ward. Our 4ward behaviours, which we ask all staff to demonstrate, underpin our everyday work and remain firmly at the heart of all we do.

Our objectives are simple:
  • Best services for local people
  • Best experience of care and best outcomes for our patients
  • Best use of resources
  • Best people

Better never stops, and our Clinical Services Strategy provides a clear future vision for our Trust, our hospitals, our services and our role in the wider health and care system.

We are proud to have achieved Timewise accreditation - this means we are committed to embedding flexible working within our organisation as a flex positive employer.

Job description

Job responsibilities

Key Duties:

Clinical/Professional

Constantly practices autonomously by assessing and effectively prioritising referrals to the service in order to deliver patient focused appropriate care in the context of a whole service approach.

Provide a specialist and holistic palliative care assessment of patients and their carers needs following referral, which realistically minimises physical symptoms and the social, financial, emotional and spiritual implications of the disease process.

In negotiation with the patient, their carers, and the wider multidisciplinary team, formulate a plan of care using specialist knowledge and skills dependent on the level of specialist intervention required.

Provides highly specialist care and advice for patients and carers, and assists the multidisciplinary team in delivering and evaluating the interventions/ plan of care, reviewing and amending this care as appropriate.

Frequently acts as a primary resource for site-specific specialist nurses, nursing/medical teams and the multi disciplinary team.

Acts as a key-worker in co-ordinating care across different professionals and agencies. Facilitates and assists with complex discharge planning to home, hospice or other facility.

Regularly assesses patient for inpatient admissions to specialist palliative care level 2 bedded units. Has admission rights to palliative care inpatient unit in liaison with Consultant in Palliative Medicine.

Frequently elicit and analyse complex patient/carer/ family reaction, needs, dynamics occurring throughout the patient/carers journey. Instigate action to facilitate the development of a therapeutic relationship between the patient/carer and members of the MDT to enhance intra-family communication.

Frequently initiates and participates in highly sensitive and complex communication issues with patients, carers, nursing/medical teams including pre-bereavement support, advice and imparting life changing news, e.g a terminal illness.

Regularly participates and contributes to relevant site-specific multidisciplinary team meetings.

Regularly reviews and develops appropriate patient documentation in line with Trust policy and Department of Health recommendations.

Participates and contributes to cancer network meetings to ensure the profile of palliative care is maintained.

An understanding of the National Cancer Agenda and its impact on cancer service delivery in practice.

Be involved in the consultation of a 24 hour palliative care advice service in line with Department of Health guidelines.

To offer a nurse prescribing service to palliative care patients in line with Department of Health and Acute Trust guidelines which will reduce patient and carers distress by being able to prescribe immediately and appropriately in response to patient needs.

Uses a palliative care database that includes patient registration, clinical details and interventions that are shared with the community palliative care team, the consultant in Palliative Medicine, the Primrose Hospice and the inpatient palliative care unit.

To participate in a 7 day palliative care visiting service that includes weekends and bank holidays.

Education

Constantly acts as a resource for information on specialist palliative care within the Worcestershire Acute Hospitals NHS Trust, disseminating evidence based knowledge and skills to clinical staff at levels.

Effectively utilises informal education opportunities with patients, carers and professionals.

Educates patients and their carers in the understanding of their illness, treatments and provides other sources of information, help and support.

Plan and coordinate formal and informal educational programmes to involve all aspects of generic and specialist palliative care within the acute and community trust, and for other agencies e.g The Primrose Hospice, St Richards Hospice.

Specifically identifies the educational needs of multi-professionals and delivers programmes to meet these needs, locally and as part of a county wide network.

Participates in county wide palliative education initiatives and development, e.g the Palliative Education Strategy.

Works in conjunction with the Consultant in Palliative Medicine to provide education and training to rotational specialist registrars and the induction of medical and surgical house officers.

Provides placements/mentorship for professionals studying palliative care/oncology at undergraduate and postgraduate level.

Develops and produces written information for patients, carers and professionals on palliative care services.

Research and Audit

Ensures clinical effectiveness by critically appraising current research and applying it to practice.

Develops and participates in appropriate nursing and medical research.

Undertakes research relevant to palliative care following Trust guidelines, disseminating findings to the multi-professional team.

Regular audit of issues relevant to current service provision, reviewing and amending practice as a result.

To be involved in clinical effectiveness issues, particularly the introduction of patient pathways e.g. working with the End of Life team

Co-ordinates the development, implementation and review of relevant nursing policies, procedures and documentation, ensuring a consistent evidence based approach to patient care.

Personal and Professional Responsibilities

Maintains a programme of personal and professional development by attending in-service training and utilising relevant educational opportunities. e.g, courses, conferences, seminars.

Functions effectively as a specialist practitioner in line with the recommendations of the Nursing and Midwifery Council and the Department of Health and operates as a member of the Palliative Care Team and wider multidisciplinary teams.

Uses clinical supervision to maintain and improve practice.

To be alert to ones own psychological health needs with reference to working in palliative care and the needs of others and to be able to receive and offer support when needed.

Work with the service manager in developing service policy and delivery, participating in projects, education and consultation as appropriate.

Maintain high professional standards of care and professional expertise.

Using a palliative care database, keep accurate records, submit statistical returns and compile reports as required

Person Specification

Experience

Essential

  • Minimum of 2 years at Band 6
  • Experience of working within the field of palliative care in a variety of settings.
  • Able to work autonomously and part of a team.
  • Teaching experience


Desirable

  • Able to work autonomously and as part of a team
  • Teaching experience
  • Caseload management


Knowledge and Skills

Essential

  • Expert clinical skills in speciality
  • Able to manage own workload
  • Able to perform assessment planning, implementation and evaluation of nursing care.
  • Excellent verbal and non-verbal communication skills.
  • Ability to develop effective interpersonal relationship with colleagues across health and social care setting.
  • Good IT skills and email.
  • Evidence of writing protocols/ Standards.
  • Evidence of effective team working across professional and organisational boundaries.
  • Able to present information to professional groups.
  • Knowledge of professional and NHS issues, and policy relating to cancer care and end of life care
  • Evidence of continuing professional development.
  • Good understanding of Research


Desirable

  • Participation in primary research
  • IT skills


Personal Qualities

Essential

  • Demonstrates flexibility
  • Able to perform a wide range of duties


Other job requirements

Essential

  • Able to participate in a 7 day service to include Weekends and bank holidays


Qualifications

Essential

  • Registered Nurse Part 1 Recognised NMC teaching and assessing qualification
  • 1st Level Degree qualification
  • Post registration qualification in relevant speciality.
  • Advanced Communication Skills


Desirable

  • Participating or working towards masters level study in a relevant area
  • Non medical Prescribing qualification.
  • Adult Health Assessment Qualification


Employer details

Employer name

Worcestershire Acute Hospitals NHS Trust

Address

Charles Hastings Way

Worcester

Worcestershire

WR5 1DD

Any attachments will be accessible after you click to apply.

C9365-24-0592

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