Community Nurse Specialist; Band 6

We have an exciting opportunity forBand 6 Palliative Nurse Specialists to join our Community Nursing teams.

We are a supportive and dynamic team delivering outstanding palliative care to people in our community. You will need knowledge and experience of palliative care, confident decision-making skills and a passion to continuously improve and develop. This role is primarily advisory, with minimal hands-on nursing care.

The Community Nurse Specialist is an expert in ensuring high quality palliative care is delivered to patients and their families. They possess specialist knowledge and skills in physical symptom control, social, emotional and spiritual care. Theywork both independently and as part of the wider healthcare team.

The role includes:

Skilled holistic assessment, both remote and face-to-face, to effectively identify the needs of patients and those close to them.

Skilled, specialist palliative advice, support and education to patients,relatives, carers and external professionals, escalating to the hospice multidisciplinary team and external services as appropriate.

Assessing routine clinical referrals to St Peters Hospice, effectively identifying patient and family members needs including levels of urgency.

Weve spent over 40 years helping people die in peace, and with dignity. Combining compassion with clinical expertise, we provide patients with the best possible care at the end of their lives.

Were here for the people around our patients too those closest to them. Before, during and after a bereavement, we provide support thats remembered forever.

We think its that unforgettable support that inspires people to give back to St Peters. To fundraise for us. Donate. Volunteer. Were not exaggerating when we say that we couldnt do what we do without our wonderful supporters. We really cant thank them enough.

We want to help many more people to die well. And were doing this by teaching others. As a centre of educational excellence, we share our skills with other health professionals, helping the NHS and care homes to provide better end-of-life care.

Were here for all, for free, forever.

Core Clinical Responsibilities Take and analyse a clinical history in a relevant, succinct and logical manner either remotely or face to face Independently assess the patients needs, identify their priorities and workwith the patient and those close to them towards achieving them Demonstrate an in-depth knowledge of the options for achieving control of symptoms and the ability to make safe clinical decisions and offer advice tothe primary health care team Provide information to patients, taking account of their individual needs,taking advice from those who are close to them, colleagues and external professionals where appropriate

Refer to other members of the hospice multi-professional team.

Refer/signpost patients and carers to other health and social care professionals where appropriate

Demonstrate an ability to explore the personal resources of families/carers to facilitate where possible that patients are cared for in the place of their choice

Support and coach carers at home in managing a relative whose condition is deteriorating

Recognise and manage palliative care emergencies

Bring closure to the nurse-patient relationship and provide for a safe transition to another care provider as appropriate

Act as a resource to other professionals, both internally and externally, on specialist palliative care and end of life care issues

Be involved with and support MDT meetings when required

Deputise for team leader

Work collaboratively with clinical and administrative colleagues to provide aresponsive and patient-centred service

Recognise the impact of caring for dying patients on yourself, internal and external colleagues and offer / seek support

Potential Additional Clinical Responsibilities The post holder may undertake additional responsibilities when they have passed the relevant module and using the skills in current practice, as  addition, to practice Non-Medical Prescribing, the post holder must be registered as a Non-Medical Prescriber with the Nursing and Midwifery Council Use  physical assessment and clinical reasoning skills as part of patient assessment and to support clinical advice, professional communication and documentation

Perform Non-Medical prescribing within area of competence and practice according to local policy

Governance, Quality and Clinical Practice KSF 3

Contribute to improving quality

Promote care that is effective, safe and provides as positive an experience as possible

Understand own role, its scope and how this may change and develop overtime in a high-quality organisation

Work to support the team and help and enable others to work as a team Prioritise workload and manages own time in a manner that maintains and promotes high quality and offers flexibility in response to changing situations

Evaluate the quality of own and others work in own area and raises quality issues and related risks…