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Community Palliative Care Nurse

Powys Teaching Health Board
£35,922 to £43,257 per annum pro rata
Closing date
28 Jun 2024
An exciting opportunity has arisen for a Band 6 Nurse to join the Specialist Palliative Care Team within Powys Teaching Health Board based in Newtown

The role will provide a valuable learning experience regarding all aspects of specialist palliative care. The successful post holder will need to be flexible to meet the needs of the service, they will be based in Hosbis Hafren Newtown and will form part of the team providing specialist palliative care to the residents of Powys.

We are a rural Health Board with 133,000 people living across an area that is a quarter of Wales. With no District General Hospital we provide as many services as possible locally through GP provision, Community Services, Community Hospitals and Clinics.

The Specialist Palliative Care Team comprises of Palliative Medicine Consultants, Clinical Nurse Specialists, Community Palliative Care Nurses and Secretaries. The team provides specialist palliative care within the community, supporting palliative patients within their own home, care homes and during admissions to our Community Hospitals.

Main duties of the job

To deliver a comprehensive, high quality evidenced based palliative carenursing service to a delegated caseload of patients within Powys, incollaboration with the Multi-disciplinary Teams across Primary, Community and Secondary Care along integrated pathways of care.

To play a role in the provision of training and development to Powys Teaching Health Board (PTHB) staff and partners within the Community Team on palliative care.

The ability to speak Welsh is desirable for this post English and/or Welsh speakers are equally welcome to apply.

About us

Powys is cited as being a wonderful place to live and work a rural health setting where you can personally and professionally grow, where patients are at the heart of care provision. If you are an ambitious professional in search of job satisfaction, Powys is the place to be. Whatever your career aspirations, we are committed to supporting and developing you.

Powys Teaching Health Board is responsible for meeting the health and wellbeing needs of the population of Powys. Powys is the largest county in Wales with Snowdonia to the North and the Brecon Beacons to the South, the spectacular scenery is something to behold. Working in partnership, we commission and provide award-winning hospital, community, mental health and learning disability services, so our portfolio is varied and diverse. We are proud to offer patients an unrivalled level of care and range of careers for professionals who want to make a real difference.

Did you know - Powys Teaching Health Board accepts applications to retire and return from within the NHS in Wales. If you would like to know more, please contact the Powys Teaching Health Board Workforce team on 01874 712580 or

Step into Health connects employers in the NHS to people from the Armed Forces community.

Applicants are invited to apply in Welsh, any application submitted in Welsh will not be treated less favourably than an application made in English.

Job description

Job responsibilities

DUTIES & RESPONSIBILITIESLeadership and ManagementAdhere to the NMC Professional Standards of Practice and Behaviour for Nurses and Midwives, ensuring that issues of concern are escalated appropriately.

Act at all times as a role model, presenting a professional approach andensuring the standards for professionalism are set and displayed within theteam. To provide professional advice to nurses within the team.

Responsible and accountable for a delegated identified case load, under the supervision of the Clinical Nurse Specialist, proactively promoting a person centred approach, working with the patient / carer and the MDT team to reduce unplanned hospital admissions and co-ordinate care across all settings of the care pathway.

Promote and ensure through ongoing review that all patients are treated in line with the principle of dignity and respect and that this is embedded within the team.

Develop and maintain effective communication networks with otherprofessionals.

Responsible for the accurate recording, timely collection, completion andsubmission of relevant information.

Provide specialist expert clinical leadership in the field of palliative care toinspire colleagues to improve standards and practice e.g. Palliative care MDTs and case conferences.

Attend and participate in team meetings.

Working with other Clinical Nurse Specialists and MDTs to ensure that allpatients who have specialist palliative care needs are supported appropriately.

Quality, Safety and EffectivenessEnsure that lines of communication are maintained with key workingrelationships to demonstrate politeness, courtesy, compassion and sensitivity, promoting a positive image of the Health Board.

Provide evidence-based information, knowledge, support and training onpalliative care treatment options and outcomes. Supporting patients in order that they can make informed choices.

Apply the principles of Being Open in communicating with patients families and appropriate others in all aspects relating to concerns.

Provide professional support and specialist clinical knowledge on palliative care to members of the community resource teams and work jointly with staff as necessary to promote best practice.

Support relevant public health and community development initiatives.

Undertake patient satisfaction surveys/patient stories at regular intervals.

Consistently work with teams to ensure standards of patient care are high and maintain safety and quality of the patient experience.

Support the effective transfer of patient care to and from your case load byensuring that appropriate assessment, communication and liaison thusfacilitating safe admission and discharge. To work specifically with Carers to ensure an equal partner approach to ongoing care.

Provide specialist assessment of patients, through clinics and home visitsundertaking a range of clinical measurements and assessments, interpret the results to inform treatment approach with support from the Clinical Nurse Specialist where required.

Review the effectiveness of treatments through monitoring and interpretation of clinical indicators and make-adjustments to treatments, onward referrals and/or recommendations for changes to treatment or appropriate therapies as appropriate with support from the Clinical Nurse Specialist where required.

Contribute to the service operational policy and work plan, contribute to the Powys end of life plan and report and contribute to the development of co ordinated clinical policies in all relevant areas with expert evidence-based advice and information.

Take a zero-tolerance approach to practice which does not meet the higheststandard working with staff/teams to consistently improve patient outcomes and experience.

Develop clinically effective and therapeutic working relationships with patients and relatives/carers using negotiating and motivating skills to communicate complex, contentious and sensitive information.

Through bereavement support and through the MDT identify where complex grief patterns are present facilitating referral to specialist bereavement support services.

Take part in a rota providing specialist palliative care advice and support atweekends and bank holidays to other health professionals.

Nursing Workforce Development and Team WorkingTo consistently develop skills, knowledge and expertise to provide appropriate patient care in line with current service development.

Maintain clinical and professional competencies of specialist knowledge byaccessing research, professional literature, attending educational events and liaising with other specialist professionals.

Responsible for the accurate recording, timely collection, completion,submission of relevant information to support patient care, operationalmanagement, nursing staff and skill mix, service development and audit.

Contribute to the delivery of specialist education and core training requirements to the Community Resource Team and other health and social care professionals within PTHB, with support from the Clinical Nurse Specialist.

You will be able to find a full Job description and Person Specification attached within the supporting documents or please click Apply now to view in Trac.

Person Specification



  • Current NMC registration

Essential and desirable criteria


  • Current NMC registration
  • Degree in Nursing or health related subject or equivalent experience
  • Knowledge and skills to manage patients with complex needs
  • Experience of clinical assessment and proactive palliative care caseload management
  • In depth knowledge of the needs of palliative care patients and their families
  • Ability to travel within geographical area
  • Effective multi-agency team player, including the ability to engage positively with carers
  • Proven ability to work in complex situations with many differing multi-agency partners
  • Can demonstrate PTHB Values
  • Ability to use computer systems to a well developed level
  • Highly developed verbal and written communication skills
  • Ability to work under time constraints


  • Teaching qualification/ Teaching and Assessing in Clinical Practice or evidence of teaching skills/ clinical educator
  • Experience of working in a community setting
  • Post Registration training / supplementary qualifications to Degree level in related subject
  • Independent prescribing qualification
  • Ability to speak Welsh

Employer details

Employer name

Powys Teaching Health Board


Hosbis Hafren

Back Lane


SY16 2NH

Any attachments will be accessible after you click to apply.


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