Job Details
Job summary
1 x Band 7 Clinical Nurse Specialist - Palliative and End of Life Care
We are looking for a experienced and ambitious Clinical Nurse Specialist with excellent skills to join our well-established multidisciplinary Palliative and End of Life Care Team at Guy's & St Thomas' NHS Foundation Trust. We provide fully integrated 24/7 clinically effective, efficient and high-quality care to people with complex specialist palliative and end of life care needs across inpatient and community settings.
The successful post holder will lead and support the delivery of excellent personalised care to patients and families across our two inpatient hospital teams, in their own homes and care homes.
If you are looking for an amazing opportunity for career progression and to develop or expand your skills in quality improvement, research or audit, then please come and join our team. We are a member of the Palliative Care Clinical Academic Group, providing unique access to world leading researchers in the field. You will have the opportunity to develop teaching skills through delivering training across the Trust. We support our staff wellbeing through clinical supervision as well as multiple team and Trust wide initiatives. Please contact to find out more about our team and your chance to join us.
Closing date - 8th July 2024 midnight
Interview date: 18th July 2024
Main duties of the job
The successful post holder will lead and support the delivery of excellent personalised care to patients and families across our two inpatient hospital teams, in their own homes and care homes. You will provide specialist advice on pain and other physical symptoms as well as psychological, emotional, social and spiritual concerns. Our team includes nursing, pharmacy, medical, social work, and psychology colleagues. Our Band 7 nurses participate in developing our Band 6 nurses within the team with support from our Matrons, Consultant Nurse & Deputy Head of Nursing. The post is rotational across both inpatient hospital sites and the community team.
If you are looking for an amazing opportunity for career progression and to develop or expand your skills in quality improvement, research or audit, then please come and join our team. We are a member of the Palliative Care Clinical Academic Group, providing unique access to world leading researchers in the field. You will have the opportunity to develop your teaching skills through delivering training across the wider Trust. We support our staff wellbeing through clinical supervision as well as multiple team and Trust wide initiatives.
We look forward to welcoming you to our team!
About us
Guy's and St Thomas' NHS Foundation Trust comprises five of the UK's best known hospitals - Guy's, St Thomas', Evelina London Children's Hospital, Royal Brompton and Harefield - as well as community services in Lambeth and Southwark, all with a long history of high quality care, clinical excellence, research and innovation.
Integrated Local Services provides a range of community and inpatient health services for adults within the communities of Lambeth and Southwark, with some services also provided in Lewisham. The services provided by the directorate include Neighbourhood Nursing, Specialist Rehabilitation and Reablement (bed and home based), Palliative and End of Life Care, Vulnerable Adults and Prevention Services, GSTT@Home, and site administration services.
The Palliative Care team provides specialist information and supportive care to people facing serious illness. This includes symptom control and advance care planning. We recognise that emotional, spiritual, family and financial worries can be just as important as physical problems and we support with these aspects of care as well. Our Palliative and End of Life Care team includes specialist nurses and doctors, pharmacists, social workers, psychological support staff and administrative staff to helpwith the consequences of serious illnesses such as cancer and long-term health conditions. We are able to see patients in hospital, in their own home, and in our outpatient clinics.
Job descriptionJob responsibilities
Clinical Leadership and Managerial
To work autonomously, managing a caseload of patients within the specialty whilst working as part of the multidisciplinary team, delivering individualised and personalised direct patient care
Be responsible for assessing and recognising emergencies in the specialty. To interpret information and take appropriate action and to lead others to do the same.
Act as an advocate for patients within the department, to ensure a patient orientated approach to the delivery of care and to meet standards within the NHS Plan and other relevant guidelines.
Ensure that patients receive high quality clinical care and a good patient experience, having regard for their customs, religious beliefs and doctrines.
Recognise and avoid situations that may be detrimental to the health and wellbeing of the individuals.
Actively engage service users through the facilitation of user groups and open days.
Co-ordinate the provision of specialist services to patients, both within hospital and/or in the community setting, effectively liaising with multidisciplinary colleagues
Develop and run nurse led clinics where the post holder will co-ordinate the treatment in conjunction with medical staff, and provide treatment which may include minor surgical procedures for patients.
Direct, support, encourage and advise clinical teams, by the provision of specialist knowledge and advice in the care of patients within the area.
Participate in the promotion of patient centred care, and establish and maintain a supportive relationship with the patient and their family during the period of assessment, treatment and after care
Support and enable patients and carers to make informed decisions relating to their treatment and management.
Promote high quality clinical care, and assist in the development of the specialist service, through the use of evidence based practice and clinical standards
Provide professional and clinical leadership and expertise in the speciality and to act as a resource for education and clinical expertise in the hospital and community settings.
Demonstrate appropriate expert practice and highly specialist advice in the assessment, planning, implementation and evaluation of patient care. This includes history taking, physical examination and the requesting of agreed diagnostic procedures/clinical investigations.
Responsible for the correct administration of prescribed medication including transfusion of blood
Responsible for the correct administration of blood products.
Promote and deliver high standards of care at all times, which utilises research based evidence, and is audited and improved accordingly
Participate in the promotion of the specialist service through dissemination of specialist knowledge, both locally and nationally.
Act as a role model, demonstrating high standards of care and providing clinical leadership in the specialist areas.
Establish, develop and maintain effective working relationship between clinicians, practitioners and managers within the specialty, across the Trust and in the community
Actively participate in local, national and international networking to maintain and develop expert level of knowledge in the specialty.
Provide a seamless, high quality service from referral through to assessment, diagnosis, treatment and review.
Develop and evaluate assessment tools that will ensure an appropriate level of nursing intervention so that patients who present with the most complex needs receive the most appropriate specialist care.
Work in conjunction with a clinical consultant to lead a patient focuses service.
Act as patient advocate when appropriate, respecting patient confidentiality and privacy with respect for diverse cultural backgrounds and requirements.
To be designated to take charge of the area in the absence of the person holding continuing responsibility.
Education and Training
Act as a facilitator/mentor/preceptor to student nurses and others.
Assess own educational needs and take steps to keep up to date with clinical and nursing developments in line with requirements of the Nursing & Midwifery Council.
Develop the partnership between the Trust and academic staff at local Universities involved in pre-registration and post-registration nursing and medical programmes.
enting innovations and research findings locally and nationally.
Provide specialist education to members of the clinical team, which facilitates learning and individual personal development.
Implement and work within the Trusts HR policies on all staffing matters, including sickness, capability and disciplinary issues. Take corrective measures if indicated in liaison with Human Resources and the Matron.
Work with the Matron and Human Resources Department in the recruitment, selection, appointment and retention of staff.
Adhere to Trust and departmental policies and procedures, ensuring that all staff do the same.
Ensure optimised skill mix within the department/ward and reviewing the skill mix as required and monitoring the use of bank and agency staff.
Organise team meetings at an appropriate frequency, recording and circulating minutes of these. To ensure a good method of communication within the department at all times and to encourage the exchange and implementation of new ideas and evidence based practice.
Assist the Head of Nursing, Clinical Lead and Delivery Manager with the strategic planning for the service within Guys and St Thomas Foundation Trust, as an expert practitioner.
Represent Guys and St Thomas Foundation trust as an expert practitioner in the speciality in external situations conferences, committees, etc.
Maintain up-to-date records. Ensuring that confidentiality is respected and that the standards for Record Keeping are met.
For full details please see the Job Description and Person Specification
Person SpecificationSkills
Essential
Desirable
Values and Behaviours
Essential
Experience
Essential
Knowledge
Essential
Desirable
Professional/ Statutory Registration
Essential
