Hospiscare has been supporting people in Exeter, Mid and East Devon with terminal illnesses for over 40 years. Our services include support at home, a specialist palliative care ward, out-patients clinics, and supportive therapies. We support close to 2,200 local people each year, in some of the hardest times possible. As a local charity, we raise around £10 million each year to continue to provide our care. Our staff, volunteers and supporters help us to care for people when they're most in need, no matter what their individual circumstances may be. We're proud to be rated as 'five star' by patients and families and as 'outstanding' by the Care Quality Commission, to have been awarded a Mind Bronze Award for wellbeing at work and to be a Disability Confident employer. Job responsibilities
Job Title:
Clinical Nurse Specialist (CNS) Band:
6 Location:
Community Hours:
Ason contract, to include on-call Team/Directorate:
Community Cluster Responsible To:
Community Cluster Team Leader (CCTL) Accountable to:
Head of Community and Supportive Care Services Job Purpose
To deliver an excellent standard of evidence-based specialist palliative nursing care and clinical advice. To promote dignity, encompassing a person-centred approach, to positively enhance the lives of patients in the community with complex life-limiting illnesses. Key Result Areas/Principal Duties and Responsibilities
Main Responsibilities Provide advanced specialist palliative care by contributing highly experienced clinical judgement and knowledge in complex palliative and end of life care in order to promote best practice for adults with life limiting illnesses. Demonstrate advanced communication skills and professionalism in all interactions with patients and those close to them, carers and other professionals in order to promote and maintain Hospiscare values. Contribute to the daily clinical leadership of junior staff within the community team to ensure team effectiveness, cover and cohesion. Deliver education and learning, both internally and externally, for all those involved in palliative/end of life care, to ensure evidence-based practice. Attend and contribute to multi-disciplinary, complex care and Gold Standards Framework (GSF) or End of Life meetings to promote best practice. Contribute to Hospiscare's clinical governance and audit process in order to support continuing quality improvement and learning. Assess and identify complex bereavement and effectively communicate with the Supportive Care team to enable a seamless handover into Hospiscare's Bereavement Care Services. Infection Prevention and Control
Maintaining a safe environment for patients, visitors and employees is everyone's responsibility. All staff are required to adhere to Hospiscare's Infection Prevention and Control Policy and make every effort to maintain high standards of infection prevention and control at all times. Disclosure and Barring Service
This role requires a Disclosure and Barring Service (DBS) Enhanced level check with Adults and Children Barred Lists. Person Specification
Experience
Substantial experience of working within a palliative care/end of life environment Significant experience of effective clinical governance, audit and standard setting Experience of policy and/or standards development Experience of multi-agency partnership working in order to deliver service improvements Experience of coaching/mentoring and of facilitating clinical supervision Experience of working in the community setting Knowledge
Detailed understanding of the complexities of working with individuals at times of distress and conflict Understanding of key issues relating to End of Life Care including policy developments Detailed understanding of theoretical nursing models and of their impact on delivery of care Skills
Developed ability to act as an expert practitioner Developed ability to manage a caseload effectively, including discharge planning Highly developed communication and interpersonal skills Developed ability to demonstrate knowledge and expertise through formal/informal teaching and educational programmes Developed ability to manage challenging circumstances effectively, to understand and disseminate multifaceted information Personal attributes
Ability to lead and work as part of a team, prioritise workload and manage time effectively Ability to work autonomously, problem solve and act on own initiative Flexible and adaptable with the ability to respond positively in a rapidly changing environment Commitment to continuing professional development Awareness of Equality, Diversity and Inclusion in all aspects of work Additional requirements
Able and willing to contribute to the 7 days/week specialist palliative care service Able to travel and work throughout the area covered by Hospiscare Able to fulfil physical and manual handling aspects of the role Car owner and driver Qualifications
Registered Nurse with current Nursing and Midwifery Council registration Diploma in Palliative Care or diploma level qualification in associated field. Evidence of ongoing professional development. Advanced Communication Skills training Teaching and mentorship/supervision qualification Disclosure and Barring Service Check
This post is subject to the Rehabilitation of Offenders Act (Exceptions Order) 1975 and as such it will be necessary for a submission for Disclosure to be made to the Disclosure and Barring Service (formerly known as CRB) to check for any previous criminal convictions.
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